Most Relevant Information
Provider Data
| NPI Number: | 1003233693 |
| Provider Name: | PEGGY BURT LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | P1702237 |
Most Important Dates
| Enumeration Date: | 03/21/2014 |
| Last Updated: | 07/25/2019 |
Provider Practice Location
2607 CADDO ST STE 6
AR COUNSELING & PSYCHODIAGNOSTICS, INC.
ARKADELPHIA
AR
719235307
Practice Location Phone/Fax
| Phone: | 8702308217 |
| Fax: | 8702308201 |
Provider Mailing Location
THE COUNSELING PLACE
2503 PINE ST STE 4
ARKADELPHIA
AR
719234368
Provider Mailing Phone/Fax
| Phone: | 8702308217 |
| Fax: | 8702308201 |