Individual provider · Type 1 NPI
Gary D. McDougal Ii, CADC, PRPS
Addiction (Substance Use Disorder) Counselor · Warren, AR
NPI number
1942895388
Active
Practice location
614 N Martin St
Warren, AR 71671-1904
Mailing address
Gary Mcdougal, 5029 Alexander Rd.
Pine Bluff, AR 71603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | 034 (AR) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1690 (AR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
About NPI 1942895388
Gary D. McDougal Ii, CADC, PRPS's National Provider Identifier is 1942895388, issued on Mar 8, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Warren, AR. The record was last updated on Mar 8, 2021.