Lori R Lebahn, MS LPC

NPI #1063501146 in Russellville, Arkansas

Provider Information

NPI Number: 1063501146
Entity Type: Individual
Name: Lori R Lebahn, MS LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: MS LPC
Enumeration Date: Oct 12, 2006
Last Updated: Dec 6, 2011

Practice Location

Address: 1110 W B ST
Address 2: SUITE K
City: Russellville
State: Arkansas
ZIP Code: 72801-3506
Phone: (479) 280-1962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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