Individual
MR. TIMOTHY MARK CUPPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CIT
Contact information
Practice address
310 MID CONTINENT PLZ, 6TH FLOOR SUITE 602, WEST MEMPHIS, AR 72301-1760
(870) 735-2499
(870) 735-2496
Mailing address
310 MID CONTINENT PLZ, 6TH FLOOR SUITE 602, WEST MEMPHIS, AR 72301-1760
(870) 735-2499
(870) 735-2496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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