Individual
CASSIDY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
310 WHITTINGTON AVE, HOT SPRINGS, AR 71901-3406
(501) 623-3477
Mailing address
310 WHITTINGTON AVE, HOT SPRINGS, AR 71901-3406
(870) 955-4383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2106008
AR
Other
Enumeration date
05/02/2013
Last updated
12/17/2024
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