Individual
MR. ROBBIE MCILLWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
2420 LINWOOD DR STE 1&2, PARAGOULD, AR 72450-6122
(870) 236-5880
Mailing address
1403 S 14TH ST, PARAGOULD, AR 72450-4878
(870) 565-2321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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