Individual
MRS. WENDY J BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAC, NCC
Contact information
Practice address
1422 CALDWELL ST, CONWAY, AR 72034-5319
(501) 327-7224
(501) 327-7224
Mailing address
1422 CALDWELL ST, CONWAY, AR 72034-5319
(501) 327-7224
(501) 327-7224
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0801005
AR
174400000X
Specialist
P0801005
AR
Other
Enumeration date
05/25/2007
Last updated
03/19/2015
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