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Organization

CONWAY COUNSELING & PSYCHOLOGICAL SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AYISHA R KELLYBREW-MILLER LPC (OWNER)
(501) 336-3600
Entity
Organization

Contact information

Practice address
1312 DONAGHEY AVE, CONWAY, AR 72034-3807
(501) 366-3600
Mailing address
1312 DONAGHEY AVE, CONWAY, AR 72034-3807
(501) 366-3600

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0409039
AR

Other

Enumeration date
04/09/2015
Last updated
04/09/2015
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