Christopher Ray Rouse Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Gravette, AR
- NPI
- 1164032702
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 2201 (AR)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-08-07
- Last updated
- 2024-05-17
Practice location
210 White Oak Dr Ne Apt A
Gravette, AR 72736-9629
(918) 353-2556