NPI 1548051188

Lisa Jean Wilson, CRC

Practitioner Rehabilitation Counselor North Little Rock, AR

Practice location

Address: 2200 Fort Roots Dr, North Little Rock, AR 72114-1709
Phone: (501) 257-1653
Fax: (501) 257-1671
Mailing address: 1660 Ivy Cv, Conway, AR 72034-8406

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence 42922 (AR)

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Registry record

NPI: 1548051188
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2025
Record last updated: 14 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.