Individual
MR. WOODROW WILSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3305 E HIGHLAND DR STE B, JONESBORO, AR 72401-6491
(870) 520-5014
(870) 520-5015
Mailing address
PO BOX 11064, FAYETTEVILLE, AR 72703-1001
(870) 520-5014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
P1012081
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228145719
—
AR
Enumeration date
09/09/2011
Last updated
06/26/2025
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