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Organization

LAMPSTEAD COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENYON MARK MOSHER LPC, LADAC (CEO/THERAPIST)
(580) 541-6416
Entity
Organization

Contact information

Practice address
2503 PINE ST STE 4, ARKADELPHIA, AR 71923-4368
(580) 541-6416
(877) 276-1301
Mailing address
2503 PINE ST STE 4, ARKADELPHIA, AR 71923-4368
(580) 541-6416
(877) 276-1301

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
03/20/2018
Last updated
08/23/2021
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