Individual provider · Type 1 NPI

Courtney Rebekah Lietzke, LPC

Mental Health Counselor · Siloam Springs, AR

NPI number 1861907644 Active

Practice location

827 W Harvard St
Siloam Springs, AR 72761-4013

Call (479) 549-3121 Map

Fax (479) 750-4843

Mailing address

2400 S 48th St
Springdale, AR 72762-6683

Other practice locations

  • 27753 S Welling Rd, Welling, OK 74471-2202 · (918) 457-4999

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XA1911163 (AR)
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XP2306020 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1861907644

Courtney Rebekah Lietzke, LPC's National Provider Identifier is 1861907644, issued on Dec 3, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Siloam Springs, AR. The record was last updated on Jun 27, 2023.