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Organization
ALLIANCE COUNSELING & THERAPY LLC
Active
Organization
ALLIANCE COUNSELING & THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LANE GREEN (OPERATING MANAGER)
(479) 936-5944
Entity
Organization
Contact information
Practice address
1232 W POPLAR ST, ROGERS, AR 72756-4246
(479) 936-5944
(479) 936-8330
Mailing address
PO BOX 793, ROGERS, AR 72757-0793
(479) 936-5944
(479) 936-8330
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/09/2012
Last updated
07/16/2012
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