person
Willie White JR.
Mental Health Counselor in Pine Bluff, Arkansas
NPI 1013313303

Willie White JR. is a Mental Health Counselor based in Pine Bluff, AR and is specialized in Mental Health. Willie White JR. practices in Pine Bluff, AR. The NPI Number for Willie White JR. is 1013313303 and holds a License No. (Arkansas).

The current practice location address for Willie White JR. is 620 S Laurel St, Pine Bluff, AR and can be reached out via phone at 870-534-4900 and via fax at 870-534-4906.

Location: 620 S Laurel St, Pine Bluff, AR, 71601-4859
person
Provider Profile Details
NPI Number
1013313303
Provider Name
Willie White JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
620 S Laurel St, Pine Bluff, AR, 71601-4859
Phone Number
870-534-4900
Fax Number
870-534-4906
Provider Enumeration Date
11/13/2014
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
180635526 05 AR
institution
Provider Business Practice Location Address Details
Address
620 S Laurel St
City
State
Zip
71601-4859
Phone Number
870-534-4900
Fax Number
870-534-4906
person
Provider Business Mailing Address Details
Address
620 S Laurel St
City
State
Zip
71601-4859
Phone Number
870-534-4900
Fax Number
870-534-4906
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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