Individual provider · Type 1 NPI
Tresvil Gerard Pack, PhD, CRC, LPC
Professional Counselor · Conway, AR
NPI number
1831494905
Active
Practice location
930 Wingate St Ste D2
Conway, AR 72034-4837
Mailing address
PO Box 11770
Conway, AR 72034-0031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | P1101006 (AR) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1831494905
Tresvil Gerard Pack, PhD, CRC, LPC's National Provider Identifier is 1831494905, issued on Jan 20, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Conway, AR. The record was last updated on Sep 23, 2012.