Lori Lynne Pascoe, LAC
Counselor, Mental Health in Bentonville, AR. Individual provider (NPI-1).
NPI number1982243069
StatusActive
Last updated in NPPESJan 6, 2020
Details
- NPI
- 1982243069
- Entity type
- Individual (NPI-1)
- Name
- Lori Lynne Pascoe
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2020
- Certification date
- Jan 6, 2020
- Last updated
- Jan 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | A1908023 | AR | Yes |
Practice location
2003 Se Walton BlvdBentonville, AR 72712-3725
Phone 479-725-6000 · Fax 479-750-4843
Mailing address
2400 S 48th StSpringdale, AR 72762-6683
Phone 479-750-2020 · Fax 479-750-4843
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