Individual
PATRENA D TABRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A, M.H.P.P.
Contact information
Practice address
4400 SHUFFIELD DR, LITTLE ROCK, AR 72205-7100
(501) 686-9300
Mailing address
6800 MABELVALE CUT OFF, LITTLE ROCK, AR 72209-2370
(501) 837-3728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1603032
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174031795
—
AR
Enumeration date
05/22/2007
Last updated
04/05/2016
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