Tresvil Gerard Pack, PH.D., CRC, LPC Valid NPI

Individual provider · Professional Counselor · Conway, AR

NPI

1831494905

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

P1101006 (AR)

Sex

Male

Sole proprietor

No

Enumerated

2011-01-20

Last updated

2012-09-23