Individual
KATHLEEN LUCILLE HOUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LADAC
Contact information
Practice address
1130 E MILLSAP RD, FAYETTEVILLE, AR 72703-5150
(479) 444-9363
(479) 443-2049
Mailing address
PO BOX 8488, FAYETTEVILLE, AR 72703-0009
(479) 444-9363
(479) 443-2049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0265L
AR
101YP2500X
Professional Counselor
Primary
P9306008
AR
Other
Enumeration date
11/11/2007
Last updated
11/11/2007
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