Individual
ENGLISH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14913 COOPER ORBIT RD, LITTLE ROCK, AR 72223-3903
(501) 614-4914
Mailing address
6301 FATHER TRIBOU ST, LITTLE ROCK, AR 72205-3003
(501) 372-4614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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