Individual
DESERET LAUREE LAZARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT, LAC
Contact information
Practice address
1002 MCCLAIN RD STE A110, BENTONVILLE, AR 72712-6737
(402) 981-1650
Mailing address
2405 SW HAMPTON AVE, BENTONVILLE, AR 72713-3202
(402) 981-1650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2410006
AR
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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