Individual
DR. TRESVIL GERARD PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., CRC, LPC
Contact information
Practice address
930 WINGATE ST STE D2, CONWAY, AR 72034-4837
(501) 499-8699
Mailing address
PO BOX 11770, CONWAY, AR 72034-0031
(501) 499-8699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1101006
AR
Other
Enumeration date
01/20/2011
Last updated
09/23/2012
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