Individual
GAIL L UNGEMACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1400 E 16TH ST, RUSSELLVILLE, AR 72801
(479) 970-3248
(479) 890-5632
Mailing address
350 SALEM ROAD, SUITE 1, CONWAY, AR 72034
(501) 336-8300
(501) 329-3572
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1137
AR
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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