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BOBBY WAYNE ADKISON LAC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1659653152

Individual Registrant:
 BOBBY WAYNE ADKISON LAC
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

Contact information for business:
317 W INDUSTRIAL PARK RD  HARRISON, AR 72601-6804 US
Tel: 870-741-2960  Fax: 870-741-2965

Registration Information:
NPI: 1659653152
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
ARA1105050

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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