Individual
MARY LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 COUNTY ROAD 458, MOUNTAIN HOME, AR 72653-8212
(870) 425-5252
Mailing address
PO BOX 182, CALICO ROCK, AR 72519-0182
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952434326
—
AR
Enumeration date
06/25/2014
Last updated
06/25/2014
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