Individual
ANDREA ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1995 HIGHWAY 62 412, HIGHLAND, AR 72542-9262
(870) 257-0033
Mailing address
1627 HIGHWAY 62 412, HIGHLAND, AR 72542-9540
(870) 257-0033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A2211005
AR
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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