Individual
THOMAS PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1200 W WALNUT ST STE B1100, ROGERS, AR 72756-3562
(479) 278-7028
(479) 278-2092
Mailing address
PO BOX 679, MORRILTON, AR 72110-0679
(150) 135-4458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9538
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9538
LAC
AR
Enumeration date
02/08/2022
Last updated
02/08/2022
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