Individual
LEAH CARVAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 968-1298
(479) 968-6053
Mailing address
4815 ABBEY GAIL DR, #1, CONWAY, AR 72034-9288
(903) 826-3111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1401013
AR
Other
Enumeration date
02/19/2014
Last updated
05/11/2015
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