Individual
MR. BRIAN EMORY WHITESIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CIT
Contact information
Practice address
3204 E MOORE AVE, SEARCY, AR 72143-4826
(501) 268-7777
(501) 278-5506
Mailing address
3204 E MOORE AVE, SEARCY, AR 72143-4826
(501) 268-7777
(501) 278-5506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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