Individual
DR. KAREN GONGOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOCTOR PSYCHOTHERAPY
Contact information
Practice address
1305 E MAIN ST, RUSSELLVILLE, AR 72801-5322
(479) 393-9866
Mailing address
1305 EAST MAIN STREET, RUSSELLVILLE, AR 72801-5322
(479) 393-9866
(479) 358-1464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P0512076
AR
101YP2500X
Professional Counselor
P0512076
AR
Other
Enumeration date
10/06/2008
Last updated
04/17/2024
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