Individual
CHRISTOPHER RAY ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 WHITE OAK DR NE APT A, GRAVETTE, AR 72736-9629
(918) 353-2556
Mailing address
210 WHITE OAK DR NE APT A, GRAVETTE, AR 72736-9629
(918) 353-2556
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2201
AR
Other
Enumeration date
08/07/2020
Last updated
05/17/2024
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