Individual
MR. ROBERT DANIEL PARKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
208 HIGHWAY 62 W, BERRYVILLE, AR 72616-8872
(479) 750-2020
(479) 750-4843
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1011130
AR
101YP2500X
Professional Counselor
Primary
P1607067
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184022795
—
AR
Enumeration date
11/15/2010
Last updated
07/28/2016
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