Individual
KELLY POGUE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
1112 MAIN ST, VILONIA, AR 72173-8072
(501) 772-9278
Mailing address
50 VILANCO CUTOFF, VILONIA, AR 72173-9876
(501) 514-7854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2401020
AR
Other
Enumeration date
06/14/2022
Last updated
03/07/2024
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