Individual provider · Type 1 NPI

Leah Carvajal, LAC

Mental Health Counselor · Russellville, AR

NPI number 1386069961 Active

Practice location

110 Skyline Dr
Russellville, AR 72801-3362

Call (479) 968-1298 Map

Fax (479) 968-6053

Mailing address

4815 Abbey Gail Dr, #1
Conway, AR 72034-9288

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA1401013 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1386069961

Leah Carvajal, LAC's National Provider Identifier is 1386069961, issued on Feb 19, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Russellville, AR. The record was last updated on May 11, 2015.