Individual
MRS. COURTNIE DYAN ORTIZ MOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2113 S 54TH ST STE 5, ROGERS, AR 72758-8169
(479) 903-0070
Mailing address
2113 S 54TH ST STE 5, ROGERS, AR 72758-8169
(479) 903-0070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P2302005
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2302005
ARKANSAS BOARD OF EXAMINERS IN COUNSELING (LPC)
AR
Enumeration date
02/07/2023
Last updated
02/07/2023
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