SearchArkansas101YM0800X

Clevelon Lasker, LPC

NPI 1821743105 · on the registry since 2022

Practice

Address
1912 Washington Ave
Conway, AR 72032
Phone
(870) 623-6299
Organisation at this address
Grace Therapeutics Of Arkansas
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas