Most Relevant Information
Provider Data
| NPI Number: | 1003682196 |
| Provider Name: | ABIGAIL CAMPBELL LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | A2409009 |
Most Important Dates
| Enumeration Date: | 11/29/2023 |
| Last Updated: | 10/11/2024 |
Provider Practice Location
1 LILE CT STE 200
LITTLE ROCK
AR
722056240
Practice Location Phone/Fax
| Phone: | 4799642011 |
| Fax: |
Provider Mailing Location
324 FLETCHER LOOP
LITTLE ROCK
AR
722239076
Provider Mailing Phone/Fax
| Phone: | 6014541169 |
| Fax: |