Individual
FOSTER PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1672 SOUTH 48TH ST, SUITE B, SPRINGDALE, AR 72762-5880
(479) 202-6300
(479) 202-6300
Mailing address
1672 SOUTH 48TH ST, SUITE B, SPRINGDALE, AR 72762-5880
(479) 202-6300
(479) 202-6300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2505107
AR
Other
Enumeration date
08/08/2022
Last updated
08/29/2025
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