Individual
GABRIELLE CONYEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6210 BASELINE RD, LITTLE ROCK, AR 72209-4728
(501) 265-0302
(501) 265-0300
Mailing address
6210 BASELINE RD, LITTLE ROCK, AR 72209-4728
(501) 265-0302
(501) 265-0300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1804038
AR
101YP2500X
Professional Counselor
Primary
P2105006
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236900526
—
AR
Enumeration date
05/27/2011
Last updated
09/13/2021
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