Individual
LAUREN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
125 1/2 N MARKET ST, BENTON, AR 72015
(662) 727-1053
(501) 214-6867
Mailing address
208 E RICHARDSON PLACE DR, BRYANT, AR 72022-3246
(501) 278-1736
(501) 214-6867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1410080
AR
Other
Enumeration date
01/28/2011
Last updated
03/01/2019
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