Individual
MARY E LAJEUNESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPE
Contact information
Practice address
2850 PRINCE ST STE 53, CONWAY, AR 72034-3600
(501) 764-3002
Mailing address
2850 PRINCE ST STE 53, CONWAY, AR 72034-3600
(501) 764-3002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11-46AE PL
AR
103T00000X
Psychologist
Primary
13-10EI
AR
Other
Enumeration date
09/27/2012
Last updated
04/09/2024
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