LESLEY CAROL CORDELL


Address: 1893 N Buckley Dr, Fayetteville, AR 72701-3052
Phone: 4792361372

LESLEY CAROL CORDELL (NPI# 1679632350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679632350
Entity Type Individual
Full Name LESLEY CAROL CORDELL
Other Name LESLEY CAROL POOLE
Credential LPC
Practice Address 1893 N Buckley Dr
Fayetteville
AR 72701-3052
Practice Telephone 4792361372
Practice Fax Number 8667512593
Mailing Telephone 4792361372
Mailing Fax Number 8667512593
Enumeration Date 2006-12-08
Last Update Date 2013-01-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
P0504027 AR Behavioral Health & Social Service Providers

Office Location

Street Address 1893 N BUCKLEY DR
City FAYETTEVILLE
State AR
Zip Code 72701-3052

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City FAYETTEVILLE
Zip Code 72701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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