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NPI Code Detail

MEDICARE: CANDY LOWERY LPC

MEDICARE: CANDY LOWERY 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
1101YP2500XProfessional CounselorP2406015AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730465394
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDY LOWERY LPC
Provider Business Mailing Address
First Line : PO BOX 1131
Second Line :
City : HARRISON
State : AR
Zip : 72602-1131
Country : US
Telephone Number : 870-204-6016
Fax Number : 870-782-2914
Provider Business Practice Location Address
First Line : 716 S PINE ST
Second Line :
City : HARRISON
State : AR
Zip : 72601-5830
Country : US
Telephone Number : 870-204-6016
Fax Number : 870-782-2914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2011
Last Update Date : 03/28/2025

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