Individual
MRS. MISTY LEANNE JUOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPE
Contact information
Practice address
109 W SOUTH ST., ACA, BENTON, AR 72015
(501) 776-1191
(501) 776-1194
Mailing address
109 W SOUTH ST., ACA - ARKANSAS COUNSELING ASSOCCIATES, BENTON, AR 72015
(501) 776-1191
(501) 776-1194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01-21E
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y529
BCBS
AR
Enumeration date
04/20/2007
Last updated
06/17/2014
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