Individual
MS. AMY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
211 E 4TH ST, RUSSELLVILLE, AR 72801-5133
(479) 858-8899
Mailing address
211 E 4TH ST, RUSSELLVILLE, AR 72801-5133
(479) 858-8899
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2406006
AR
Other
Enumeration date
10/17/2023
Last updated
06/25/2024
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