Individual provider · Type 1 NPI

Kendall Wilmoth

Addiction (Substance Use Disorder) Counselor · Little Rock, AR

NPI number 1376108951 Active

Practice location

14913 Cooper Orbit Rd
Little Rock, AR 72223-3903

Call (501) 614-4914 Map

Mailing address

6301 Father Tribou St
Little Rock, AR 72205-3003

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1376108951

Kendall Wilmoth's National Provider Identifier is 1376108951, issued on May 8, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Little Rock, AR. The record was last updated on May 8, 2019.