Individual
NATHAN WINIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
500 HILL FARM RD, BRYANT, AR 72022-3804
(501) 653-5015
Mailing address
106 SIXTH ST, CHARLESTON, AR 72933-7027
(015) 765-0881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P2402003
AR
Other
Enumeration date
08/20/2021
Last updated
03/01/2024
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