Organization
EAST COUNSELING LLC
Active
Other names
East Counseling LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JODI RAE EAST LPC (CLINICAL DIRECTOR)
(417) 379-0045
Entity
Organization
Contact information
Practice address
1523 WILLIAM CT, SILOAM SPRINGS, AR 72761-4511
(417) 379-0045
Mailing address
1523 WILLIAM CT, SILOAM SPRINGS, AR 72761-4511
(417) 379-0045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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