Individual
WHITNEY E MIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1672 SOUTH 48TH STREET, SUITE B, SPRINGDALE, AR 72762
(479) 202-6300
(479) 202-6300
Mailing address
1672 SOUTH 48TH STREET, SUITE B, SPRINGDALE, AR 72762
(479) 202-6300
(479) 202-6300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1608109
AR
101YM0800X
Mental Health Counselor
Primary
P1903027
AR
Other
Enumeration date
08/29/2016
Last updated
03/19/2019
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