Individual
MARC PAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.DIV., M.S., LAC
Contact information
Practice address
5 TILLICOULTRY LN, BELLA VISTA, AR 72715-4732
(479) 276-4883
Mailing address
5 TILLICOULTRY LN, BELLA VISTA, AR 72715-4732
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A1603038
AR
Other
Enumeration date
04/14/2016
Last updated
05/26/2016
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