Individual
ELIZABETH STANDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
800 EXCHANGE AVE STE 103, CONWAY, AR 72032-7833
(501) 701-2230
Mailing address
1185 CRIMSON CLOVER DR, CONWAY, AR 72034-7558
(501) 802-0274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2302017
AR
Other
Enumeration date
02/08/2023
Last updated
06/20/2023
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