Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Candice Kozark, LAC

Individual provider Mental Health Counselor · NPI 1871944611

Candice Kozark, LAC is a Mental Health Counselor in Bentonville, Arkansas. Works from 2 locations. Licensed in Arkansas.

Licensed in
AR
In the registry since
2016
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

2003 SE Walton Blvd
Bentonville, AR 72712-3725
Phone: (479) 725-6000
Fax: (479) 750-4843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 W Walnut St, Rogers, AR 72756-3521 — (479) 725-6000

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A1608110 (AR)

Record details

NPI number1871944611
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedJune 23, 2016
Last updated in NPPESApril 4, 2018

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