Individual
ALEXIS DANIELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12921 CANTRELL RD STE 105, LITTLE ROCK, AR 72223-1798
(501) 891-5492
Mailing address
12921 CANTRELL RD STE 105, LITTLE ROCK, AR 72223-1798
(501) 891-5492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A2302023
AR
101YP2500X
Professional Counselor
Primary
P2412010
AR
Other
Enumeration date
02/13/2023
Last updated
12/10/2024
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