Individual
MRS. CRYSTAL LOUGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5101 OLD GREENWOOD RD STE 108, FORT SMITH, AR 72903-6913
(479) 461-7767
Mailing address
3201 S 97TH ST, FORT SMITH, AR 72903-5709
(479) 461-7767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P0512071
AR
101YP2500X
Professional Counselor
Primary
P0512071
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06110013600
QUALCHOICE
AR
01
—
5A106
BLUE CROSS
AR
Enumeration date
08/31/2006
Last updated
09/27/2020
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