Individual
ELIZABETH JANE HAMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2113 S 54TH ST STE 5, ROGERS, AR 72758-8169
(501) 425-9964
Mailing address
2113 S 54TH ST STE 5, ROGERS, AR 72758-8169
(501) 425-9964
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2112009
AR
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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