Individual
LAUREN LOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 S 70TH ST, FORT SMITH, AR 72903-5017
(479) 452-6650
Mailing address
10301 MAYO DR, BARLING, AR 72923-1660
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A2206013
AR
101YP2500X
Professional Counselor
Primary
P2406010
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/29/2018
Last updated
11/25/2024
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