Individual
MRS. TAMEKA SPROLING GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC , CRC, LADAC
Contact information
Practice address
10 CORPORATE HILL DR, 330, LITTLE ROCK, AR 72205-4540
(501) 954-7470
(501) 954-7420
Mailing address
10 CORPORATE HILL DR, 330, LITTLE ROCK, AR 72205-4540
(501) 954-7470
(501) 954-7420
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
327L
AR
101YP2500X
Professional Counselor
Primary
P1408060
AR
225C00000X
Rehabilitation Counselor
00114996
AR
Other
Enumeration date
09/12/2012
Last updated
09/24/2015
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