Individual
MS. CAROLYN HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
701 ARKANSAS BLVD, TEXARKANA, AR 71854-2105
(870) 772-5028
(870) 772-5056
Mailing address
3352 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 521-5868
(479) 521-6520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1003044
AR
101YP2500X
Professional Counselor
12509
TX
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/28/2009
Last updated
04/14/2010
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