Christopher Ray Rouse
Counselor, Addiction (Substance Use Disorder) in Gravette, AR. Individual provider (NPI-1).
NPI number1164032702
StatusActive
Last updated in NPPESMay 17, 2024
Details
- NPI
- 1164032702
- Entity type
- Individual (NPI-1)
- Name
- Christopher Ray Rouse
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2020
- Certification date
- May 17, 2024
- Last updated
- May 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 2201 | AR | Yes |
Practice location
210 White Oak Dr Ne Apt AGravette, AR 72736-9629
Phone 918-353-2556
Mailing address
210 White Oak Dr Ne Apt AGravette, AR 72736-9629
Phone 918-353-2556
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