Individual
MR. BROCK SHINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
21019 HIGHWAY 16 E, SILOAM SPRINGS, AR 72761-5381
(865) 776-6806
Mailing address
21019 HIGHWAY 16 E, SILOAM SPRINGS, AR 72761-5381
(865) 776-6806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2206018
AR
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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