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MR. PATRICK KEITH NUMAN MHPP
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1356598783
Individual Registrant:MR. PATRICK KEITH NUMAN MHPP
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
301 N. OAK ST STAR CITY, AR 71667 US
Tel: 870-367-2143 Fax: 870-367-2145
Tel: 870-367-2143 Fax: 870-367-2145
Contact information for business:
2500 RIKE DR PINE BLUFF, AR 71603-3937 US
Tel: 870-534-1834 Fax: 870-534-5798
Tel: 870-534-1834 Fax: 870-534-5798
Registration Information:
NPI: 1356598783
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 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 116378726 | AR | 05 |
