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Individual

BILL J CARPENTER SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT, LPC

Contact information

Practice address
4700 W COMMERCIAL DR STE B3, NORTH LITTLE ROCK, AR 72116
(501) 920-6096
(844) 732-5392
Mailing address
4700 W COMMERCIAL DR STE B3, NORTH LITTLE ROCK, AR 72116-8073
(501) 920-6096
(844) 732-5392

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
M1804009
AR
101YM0800X
Mental Health Counselor
Primary
P1804055
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M1804009
LICENSED MARRIAGE AND FAMILY THERAPIST
AR
01
P1804055
LICENSED PROFESSIONAL COUNSELOR
AR
Enumeration date
10/12/2017
Last updated
04/04/2020
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