Individual
MS. LISA CAROL CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
302 S MAIN ST, MALVERN, AR 72104-3737
(501) 229-1515
(888) 337-2305
Mailing address
302 S MAIN ST, MALVERN, AR 72104-3737
(501) 229-1515
(888) 337-2305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P09070043
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116399726
—
AR
Enumeration date
03/01/2006
Last updated
08/08/2024
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