Stacy Lee Kinzler, LPC
Counselor, Professional in North Little Rock, AR. Individual provider (NPI-1).
NPI number1801413554
StatusActive
Last updated in NPPESJun 29, 2020
Details
- NPI
- 1801413554
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stacy Lee Kinzler
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2020
- Certification date
- Jun 29, 2020
- Last updated
- Jun 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | P2006026 | AR | Yes |
Practice location
3801 Jfk BlvdNorth Little Rock, AR 72116-8247
Phone 501-416-2138
Mailing address
3315 N Cypress StNorth Little Rock, AR 72116-9190
Phone 501-416-2138
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