Individual provider · Type 1 NPI
Mary Caitlin Conner, MS, LAC, AADC, LADAC
Counselor · Russellville, AR
NPI number
1023405933
Active
Practice location
1515 Old Highway 124
Russellville, AR 72802-4014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | A2604014 (AR) |
| Counselor Primary | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 530L (AR) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1023405933
Mary Caitlin Conner, MS, LAC, AADC, LADAC's National Provider Identifier is 1023405933, issued on Apr 17, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Russellville, AR. The record was last updated on Sep 1, 2026.