Individual
HEATHER HALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5395 W ASH ST STE 2, POTTSVILLE, AR 72858-9228
(479) 339-0039
(479) 339-0038
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1412121
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266079719
—
AR
Enumeration date
04/04/2011
Last updated
08/03/2023
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