Individual
DR. MISTI LYNNE POULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
471 DORIS, SPRINGDALE, AR 72762-4151
(214) 632-4707
Mailing address
471 DORIS, SPRINGDALE, AR 72762-4151
(214) 632-4707
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2101143
AR
Other
Enumeration date
08/04/2009
Last updated
02/16/2021
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