Individual
KARIN RINER WILCOX-IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
505 AMITY RD, SUITE 608, CONWAY, AR 72032-5964
(501) 205-0253
(501) 205-0253
Mailing address
505 AMITY RD, SUITE 608, CONWAY, AR 72032-5964
(501) 205-0253
(501) 205-0253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P0805042
AR
101YP2500X
Professional Counselor
Primary
P0805042
AR
Other
Enumeration date
08/25/2006
Last updated
01/25/2012
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