Individual
REBECA J MORALES CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
12400 INTERSTATE 30, LITTLE ROCK, AR 72210-7032
(877) 455-8554
Mailing address
PO BOX 30022, LITTLE ROCK, AR 72260-0001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2009129
AR
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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