Individual
MR. GARRICK DEWAYNE CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LMFT
Contact information
Practice address
209 ROYA LANE, STE. 4, BRYANT, AR 72022-7211
(501) 551-4144
Mailing address
8001 N HILLS BLVD, NORTH LITTLE ROCK, AR 72116-4904
(501) 551-4144
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1308092
AR
106H00000X
Marriage & Family Therapist
M1308044
AR
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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