Individual
PATRICK GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CIT
Contact information
Practice address
712 W 3RD ST, LITTLE ROCK, AR 72201-2220
(501) 379-4246
Mailing address
712 W 3RD ST, LITTLE ROCK, AR 72201-2220
(501) 379-4246
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT-HS-00614
AR
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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