Individual
MS. LORETTA J GEDOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1021 E POPLAR ST, CLARKSVILLE, AR 72830-4428
(479) 754-8610
(479) 754-8788
Mailing address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 967-5570
(479) 890-5364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/25/2008
Last updated
07/07/2015
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