Organization
REHABILITATION & COUNSELING CONSULTANTS
Active
Other names
Restored Life Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRESVIL GERARD PACK PH.D., CRC, LPC (PRESIDENT/CEO)
(501) 499-8699
Entity
Organization
Contact information
Practice address
930 WINGATE ST STE D2, CONWAY, AR 72034-4837
(501) 499-8699
(501) 205-4588
Mailing address
PO BOX 11770, CONWAY, AR 72034-0031
(501) 499-8699
(501) 205-4588
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1101006
AR
Other
Enumeration date
09/23/2012
Last updated
11/09/2012
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