Individual
STACY WIHEBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3358 S 2ND ST STE D, CABOT, AR 72023-7876
(501) 286-6053
(501) 286-6090
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1601008
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232047719
—
AR
Enumeration date
03/05/2012
Last updated
08/17/2020
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