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Mr. Gary D Mcdougal II, CADC,PRPS
Addiction (Substance Use Disorder) Counselor in Warren, Arkansas
NPI 1942895388

Gary D Mcdougal II is an Addiction (Substance Use Disorder) Counselor based in Pine Bluff, AR and is specialized in Addiction (Substance Use Disorder). Gary D Mcdougal II practices in Warren, AR and has the professional credentials of CADC,PRPS. The NPI Number for Gary D Mcdougal II is 1942895388 and holds a License No. 034 (Arkansas).

The current practice location address for Gary D Mcdougal II is 614 N Martin St, Warren, AR and can be reached out via phone at 870-489-7903.

Location: 614 N Martin St, Warren, AR, 71603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942895388
Provider Name
Gary D Mcdougal II
Credential
CADC,PRPS
Provider Entity Type
Individual
Gender
Male
Address
614 N Martin St, Warren, AR, 71603
Phone Number
870-489-7903
Fax Number
Provider Enumeration Date
03/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
232607795 05 AR
institution
Provider Business Practice Location Address Details
Address
614 N Martin St
City
Warren
State
Arkansas
Zip
71671-1904
Phone Number
870-489-7903
Fax Number
person
Provider Business Mailing Address Details
Address
614 N Martin St
City
Warren
State
Arkansas
Zip
71671-1904
Phone Number
870-489-7903
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
1690 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
034 (Arkansas)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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