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Individual

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Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
502 RICHIE RD, CABOT, AR 72023-3309
(501) 941-0940
(501) 941-1875
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P202015
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
322865719
AR
Enumeration date
10/25/2022
Last updated
02/09/2026
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