Individual
LINDELLE DIANE FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 PRINCE ST STE 53, CONWAY, AR 72034-3600
(501) 764-3002
(866) 514-7628
Mailing address
2850 PRINCE ST STE 53, CONWAY, AR 72034-3600
(501) 764-3002
(866) 514-7628
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2507016
AR
Other
Enumeration date
03/14/2023
Last updated
03/17/2026
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