Individual
LORI STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
910 NW 7TH ST, SUITE 6, BENTONVILLE, AR 72712-4565
(479) 855-5704
Mailing address
910 NW 7TH ST, SUITE 6, BENTONVILLE, AR 72712-4565
(479) 855-5704
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1701171
AR
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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