Individual
CARLISA SHAVON GILMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HURRICANE DR, JONESBORO, AR 72401-4977
(870) 910-3757
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720
(501) 325-7938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1806074
AR
171M00000X
Case Manager/Care Coordinator
—
AR
Other
Enumeration date
05/14/2018
Last updated
03/31/2021
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