Individual
MR. BLAINE ERIEN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CIT
Contact information
Practice address
3204 E MOORE AVE, SEARCY, AR 72143-4826
(501) 268-7777
Mailing address
3204 E MOORE AVE, SEARCY, AR 72143-4826
(501) 268-7777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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