MR. Gary D Mcdougal II, CADC, PRPS

NPI #1942895388 in Warren, Arkansas

Provider Information

NPI Number: 1942895388
Entity Type: Individual
Name: MR. Gary D Mcdougal II, CADC, PRPS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CADC, PRPS
Enumeration Date: Mar 8, 2021
Last Updated: Mar 8, 2021

Practice Location

Address: 614 N MARTIN ST
City: Warren
State: Arkansas
ZIP Code: 71671-1904
Phone: (870) 489-7903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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