Individual provider · Type 1 NPI
Misty Leanne Juola, LPE
Mental Health Counselor · Benton, AR
NPI number
1417175159
Active
Practice location
109 W South St., Aca
Benton, AR 72015
Fax (501) 776-1194
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 01-21E (AR) |
Mental Health Counselor: Definition to come...
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About NPI 1417175159
Misty Leanne Juola, LPE's National Provider Identifier is 1417175159, issued on Apr 20, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Benton, AR. The record was last updated on Jun 17, 2014.