Individual
MRS. LEAH DAWN EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1905 LINWOOD DR STE 2, PARAGOULD, AR 72450-6235
(870) 637-0472
(870) 292-3555
Mailing address
1905 LINWOOD DR STE 2, PARAGOULD, AR 72450-6235
(870) 637-0472
(870) 292-3555
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1112099
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173613795
—
AR
01
—
5V987
BCBS
AR
Enumeration date
05/15/2007
Last updated
06/11/2019
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