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BOBBY WAYNE ADKISON LAC
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1659653152
Individual Registrant: BOBBY WAYNE ADKISON LAC
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
317 W INDUSTRIAL PARK RD HARRISON, AR 72601-6804 US
Tel: 870-741-2960 Fax: 870-741-2965
Tel: 870-741-2960 Fax: 870-741-2965
Contact information for business:
317 W INDUSTRIAL PARK RD HARRISON, AR 72601-6804 US
Tel: 870-741-2960 Fax: 870-741-2965
Tel: 870-741-2960 Fax: 870-741-2965
Registration Information:
NPI: 1659653152
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | AR | A1105050 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
