Individual
ANDREA N GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 EXCHANGE AVE STE 103, CONWAY, AR 72032-7833
(501) 781-2230
Mailing address
10800 FINANCIAL CENTRE PKWY STE 290, LITTLE ROCK, AR 72211-3581
(501) 781-2230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A2204011
AR
225C00000X
Rehabilitation Counselor
0014963
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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