Individual
BRETT LONNIS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2002 S FILLMORE ST, LITTLE ROCK, AR 72204-4909
(501) 906-4938
(501) 421-0175
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
101YP2500X
Professional Counselor
Primary
P1408055
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203359795
—
AR
Enumeration date
05/10/2011
Last updated
07/21/2022
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