Individual
HANNAH LYNN CAROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
34 W COLT SQUARE DR STE 1, FAYETTEVILLE, AR 72703-2888
(479) 595-0333
Mailing address
89 W SMITH ST, FAYETTEVILLE, AR 72701-9265
(479) 445-7605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2407013
AR
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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