| Pine Bluff Counseling Group, Pllc | |
|
2106 E 6th Ave Pine Bluff AR 71601-5402 | |
| (501) 733-5413 | |
| Not Available |
| Full Name | Pine Bluff Counseling Group, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2106 E 6th Ave, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Carey James Dobbins (OWNER) |
| Authorized Official Contact | 5017335413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Bluff Counseling Group, Pllc 2106 E 6th Ave Pine Bluff AR 71601-5402 Ph: (501) 733-5413 | Pine Bluff Counseling Group, Pllc 2106 E 6th Ave Pine Bluff AR 71601-5402 Ph: (501) 733-5413 |
| NPI Number | 1366955346 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 11/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366955346 | NPI | - | NPPES |
| 1144501503 | Other | NPI NUMBER | |
| 7090-C | Other | AR | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7090-C (Arkansas) | Primary |
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