Individual
GREGORY WAYNE EDGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
3601 RICHARDS RD, NORTH LITTLE ROCK, AR 72117-2954
(501) 221-1843
Mailing address
3601 RICHARDS RD, NORTH LITTLE ROCK, AR 72117-2954
(501) 221-1843
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A1705213
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/22/2016
Last updated
07/21/2022
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