Individual
TARA D. LENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2105 S 54TH ST STE 2, ROGERS, AR 72758-8191
(479) 268-4557
Mailing address
2012 FLORENCE AVE, LOWELL, AR 72745-8986
(479) 366-6493
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1907092
AR
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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