Individual
GREGORY MICHAEL TANCIBOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
23 PARKCLIFF DR, HOLIDAY ISLAND, AR 72631-8045
(479) 363-6422
(479) 363-6763
Mailing address
23 PARKCLIFF DR, HOLIDAY ISLAND, AR 72631-8045
(793) 636-4224
(479) 363-6763
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2206022
AR
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/08/2007
Last updated
02/15/2023
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