Individual
ROBERT MARC IMBODEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
104 INDEPENDENCE DR, TRUMANN, AR 72472
(870) 970-4383
Mailing address
104 INDEPENDENCE DR, TRUMANN, AR 72472
(870) 970-4383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2409013
AR
Other
Enumeration date
03/06/2023
Last updated
07/30/2025
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