Individual
ACACIA LYNETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
104 LOCK AND DAM RD, RUSSELLVILLE, AR 72802-9725
(479) 222-0268
Mailing address
104 LOCK AND DAM RD, RUSSELLVILLE, AR 72802-9725
(479) 747-5222
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1202014
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175189795
—
AR
05
—
1912149618
—
AR
Enumeration date
03/27/2009
Last updated
10/14/2025
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