Individual
GAVIN DOUGLAS BRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8404 BASELINE RD, LITTLE ROCK, AR 72209-4339
(501) 663-0708
(501) 313-4062
Mailing address
8404 BASELINE RD, LITTLE ROCK, AR 72209-4339
(501) 663-0708
(501) 313-4062
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AR
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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