Individual
GENE KEITH MARINUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
6801 ISAACS ORCHARD RD STE 206, SPRINGDALE, AR 72762-6799
(479) 409-3881
Mailing address
4873 STONECREST, SPRINGDALE, AR 72762-8074
(479) 409-3881
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P1106042
AR
Other
Enumeration date
09/25/2008
Last updated
07/22/2020
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