Individual
MR. SCOTT LEE LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPE
Contact information
Practice address
522 MILLS RD., CLARKSVILLE, AR, AR 72830
(479) 705-1301
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0809AEPL
AR
Other
Enumeration date
04/22/2008
Last updated
07/06/2011
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