Individual
QUANINIKA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/LADAC/CCDP-D/MFTC
Contact information
Practice address
2901 S HEMLOCK ST, PINE BLUFF, AR 71603-4783
(870) 489-7002
(870) 850-0001
Mailing address
2901 S HEMLOCK ST, PINE BLUFF, AR 71603-4783
(870) 489-7002
(870) 850-0001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0279L
AR
101YM0800X
Mental Health Counselor
117
AR
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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