Individual provider · Type 1 NPI

Lydia Jeannine Burris, LPC

Professional Counselor · Conway, AR

NPI number 1306027339 Active

Practice location

350 Salem Rd Ste 1
Conway, AR 72034-6166

Call (501) 336-8300 Map

Fax (501) 329-5508

Mailing address

2400 S 48th St
Springdale, AR 72762-6683

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XP0802024 (AR)
Professional Counselor Primary 101YP2500XP0802024 (AR)

Professional Counselor: Definition to come...

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About NPI 1306027339

Lydia Jeannine Burris, LPC's National Provider Identifier is 1306027339, issued on Nov 19, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Conway, AR. The record was last updated on May 1, 2020.