Individual provider · Type 1 NPI
Wendy J. Blackwood, MS, LAC, NCC
Professional Counselor · Conway, AR
NPI number
1124239538
Active
Practice location
1422 Caldwell St
Conway, AR 72034-5319
Fax (501) 327-7224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | P0801005 (AR) |
| Specialist | 174400000X | P0801005 (AR) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1124239538
Wendy J. Blackwood, MS, LAC, NCC's National Provider Identifier is 1124239538, issued on May 25, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Conway, AR. The record was last updated on Mar 19, 2015.