Individual
LESLIE HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
203B WESTPORT DR, CABOT, AR 72023-3657
(501) 843-9233
(501) 843-9656
Mailing address
203B WESTPORT DR, CABOT, AR 72023-3657
(501) 843-9233
(501) 843-9656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1407095
AR
Other
Enumeration date
02/12/2010
Last updated
01/16/2015
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