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CRYSTAL L. HART LAC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1093192338

Individual Registrant:
 CRYSTAL L. HART LAC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1112 MAIN ST  VILONIA, AR 72173 US
Tel: 501-772-9278  Fax: --

Contact information for business:
1600 ALDERSGATE RD STE 200  LITTLE ROCK, AR 72205-6676 US
Tel: 501-661-0720  Fax: 501-325-7938

Registration Information:
NPI: 1093192338
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
ARA1805053
N171M00000XOther Service Providers
Case Manager/Care Coordinator
N171M00000XOther Service Providers
Case Manager/Care Coordinator
AR
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
ARP2012114

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AR - Page 1



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