Individual provider · Type 1 NPI

Carissa Jennie Gill, LPC

Professional Counselor · Little Rock, AR

NPI number 1053786004 Active

Practice location

10025 W. Markham Street, Ste 210
Little Rock, AR 72205-2178

Fax (501) 801-1816

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XA1511157 (AR)
Professional Counselor Primary 101YP2500XP2006022 (AR)

Professional Counselor: Definition to come...

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About NPI 1053786004

Carissa Jennie Gill, LPC's National Provider Identifier is 1053786004, issued on Dec 2, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Little Rock, AR. The record was last updated on Jan 4, 2023.