Individual
OMEGA CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-8967
Mailing address
827 W HARVARD ST, SILOAM SPRINGS, AR 72761-4013
(479) 750-2020
(479) 750-8967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1404071
AR
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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