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Individual

BRANDON LAMAR WILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
814 HIGDON FERRY RD, HOT SPRINGS, AR 71913-6128
(501) 623-6000
(501) 623-6004
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A2208027
AR
101YP2500X
Professional Counselor
Primary
P2406001
AR

Other

Enumeration date
03/03/2017
Last updated
06/05/2024
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