Individual
AUSTON WILIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1707 W 12TH ST STE 201, LITTLE ROCK, AR 72202
(501) 663-1837
Mailing address
1016 MCGOWAN ST APT 113, LITTLE ROCK, AR 72202-4069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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