Individual
MRS. DARLA K TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
615 E MATTHEWS AVE, SUITE 1, JONESBORO, AR 72401-3145
(870) 930-9090
Mailing address
615 E MATTHEWS AVE, SUITE 1, JONESBORO, AR 72401-3145
(870) 930-9090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
128L
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128L
LADAC
AR
Enumeration date
12/04/2008
Last updated
12/04/2008
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