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MRS. LISA J ADAMS
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1588623672
Individual Registrant:MRS. LISA J ADAMS
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
701 ARKANSAS BLVD TEXARKANA, AR 71854-2105 US
Tel: 870-772-5028 Fax: 870-772-2138
Tel: 870-772-5028 Fax: 870-772-2138
Contact information for business:
3352 N FUTRALL DR FAYETTEVILLE, AR 72703-4057 US
Tel: 479-521-5868 Fax: --
Tel: 479-521-5868 Fax: --
Registration Information:
NPI: 1588623672
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | AR | 01-15E |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
