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Individual

ALISA HOSTETLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1340 S WALDRON RD, FORT SMITH, AR 72903-2556
(479) 452-5040
(479) 452-5047
Mailing address
4107 MASSARD RD, FORT SMITH, AR 72903-6223
(479) 549-5734
(479) 657-6636

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor

Other

Enumeration date
03/16/2016
Last updated
08/18/2021
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