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NPI Code Detail

MEDICARE: MS. EVA KAREN MARTINDALE-ORITE LPC

MEDICARE: MS. EVA KAREN MARTINDALE-ORITE LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorP9510031AR
2101YP2500XProfessional CounselorP9510031AR

General Provider Information

NPI Number : 1154397982
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EVA KAREN MARTINDALE-ORITE LPC
Provider Business Mailing Address
First Line : 3111 S 70TH ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5017
Country : US
Telephone Number : 870-404-3892
Fax Number :
Provider Business Practice Location Address
First Line : 3111 S 70TH ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5017
Country : US
Telephone Number : 870-404-3892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 08/16/2012

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Directions to “ MS. EVA KAREN MARTINDALE-ORITE LPC” Practice Location

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