Individual
IVY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1200 W WALNUT ST STE 1400, ROGERS, AR 72756-3598
(479) 750-2020
(479) 750-8967
Mailing address
1200 W WALNUT ST STE 1400, ROGERS, AR 72756-3598
(479) 750-2020
(479) 750-8967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1007082
AR
101YM0800X
Mental Health Counselor
Primary
P1303025
AR
Other
Enumeration date
10/21/2010
Last updated
02/13/2014
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