Organization
ADVENTURE PLAY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNAE OTTEN LCSW (SOCIAL WORKER)
(712) 363-7942
Entity
Organization
Contact information
Practice address
1500 MAIN ST, VAN BUREN, AR 72956-4731
(479) 242-3200
Mailing address
1713 WOODWIND WAY, VAN BUREN, AR 72956-2044
(712) 363-7942
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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