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Individual

KEVIN ALAN WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
2592 N GREGG AVE STE 16, FAYETTEVILLE, AR 72703-5541
(479) 582-5565
Mailing address
PO BOX 56050, LITTLE ROCK, AR 72215-6050
(501) 661-0720
(501) 325-7938

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1509102
AR
106H00000X
Marriage & Family Therapist
A0203002
AR
106H00000X
Marriage & Family Therapist
M0501002
AR

Other

Enumeration date
01/16/2007
Last updated
03/17/2018
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