Individual
CARISSA J WINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S, LAC
Contact information
Practice address
28 SOUTHPOINTE DR, PARAGOULD, AR 72450-6238
(870) 239-2244
(870) 236-1616
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1411158
AR
101YP2500X
Professional Counselor
Primary
P1710373
AR
Other
Enumeration date
12/09/2014
Last updated
03/17/2018
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