Individual
DR. JOE DORAN STAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN. LPC LMFT
Contact information
Practice address
2204 CLARA ST, SEARCY, AR 72143
(501) 351-6760
Mailing address
2204 CLARA ST., SEARCY, AR 72143
(501) 351-6760
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P9509025 M9812046
AR
Other
Enumeration date
06/13/2007
Last updated
09/08/2010
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