Individual
LISA BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
132 LOWER RIDGE RD, CONWAY, AR 72032
(501) 315-3344
Mailing address
1700 HOSTA, CONWAY, AR 72034-8484
(870) 588-6261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1808106
AR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/25/2007
Last updated
09/06/2018
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