Individual
KELLY L COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1202 NE MCCLAIN RD STE 144, BENTONVILLE, AR 72712-3875
(479) 222-0393
(888) 375-1270
Mailing address
1202 NE MCCLAIN RD STE 144, BENTONVILLE, AR 72712-3875
(479) 222-0393
(888) 375-1270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P2005013
AR
Other
Enumeration date
08/22/2017
Last updated
10/25/2022
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