Individual
ELIZABETH MARIE BUCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1100 N UNIVERSITY AVE, SUITE 200, LITTLE ROCK, AR 72207-6343
(501) 686-9300
(501) 663-0450
Mailing address
1100 N UNIVERSITY AVE, SUITE 200, LITTLE ROCK, AR 72207-6343
(501) 686-9300
(501) 663-0450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
14-15 LP
AR
Other
Enumeration date
12/04/2009
Last updated
01/20/2015
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