Individual
MS. JO ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
3111 SOUTH 70TH STREET, VAN BUREN, AR 72956-1944
(479) 444-5048
(479) 444-5039
Mailing address
106 AZURE HILLS DR, VAN BUREN, AR 72956-2214
(479) 422-3119
(479) 452-5847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P9408023
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P9408023
LICENSED PROR. COUNSELOR
AR
Enumeration date
07/31/2006
Last updated
02/12/2009
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