Individual provider · Type 1 NPI
Gail L. Ungemach, CADC
Addiction (Substance Use Disorder) Counselor · Russellville, AR
NPI number
1235208612
Active
Practice location
1400 E 16th St
Russellville, AR 72801
Fax (479) 890-5632
Mailing address
350 Salem Road, Suite 1
Conway, AR 72034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1137 (AR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Russellville
About NPI 1235208612
Gail L. Ungemach, CADC's National Provider Identifier is 1235208612, issued on Nov 7, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Russellville, AR. The record was last updated on Jul 8, 2007.