Individual
LISA LANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LPC
Contact information
Practice address
4943 OLD GREENWOOD RD STE 6, FORT SMITH, AR 72903-6923
(479) 459-7193
Mailing address
472592 E 1120 RD, MULDROW, OK 74948-5576
(479) 459-7193
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A1606082
AR
101Y00000X
Counselor
M1905004
AR
101YM0800X
Mental Health Counselor
Primary
P1905060
AR
Other
Enumeration date
08/01/2016
Last updated
06/03/2019
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