Individual
LINDA STORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 SOUTH 7TH STREET, HEBER SPRINGS, AR 72543
(501) 365-3022
(501) 365-3086
Mailing address
408 CASE ST, HEBER SPRINGS, AR 72543-2407
(501) 362-8019
(501) 365-3086
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P9104008
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T554
BLUE CROSS BLUE SHIELD PROVIDER NUMBER
AR
Enumeration date
07/09/2010
Last updated
07/09/2010
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