Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKE KNICKERBOCKER, LADAC
ActiveMIKE KNICKERBOCKER, LADAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WARREN, Arkansas. NPI 1770847485 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WARREN, AR
Registration Details
- NPI Number
- 1770847485
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2012 (14.138187755679 yrs)
- Last Updated
- Jun 27, 2012
- Licenses
-
0159L (AR)A-194 (AR)
Practice Information
- Address
-
412 YORK STWARREN, AR, 716713218Browse AR providers · Browse ZIP 71671
- Phone
- 8702269970
- Fax
- 8702269972
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in WARREN, AR
| Name | Credential | NPI |
|---|---|---|
| MR. GARY D MCDOUGAL II | CADC, PRPS | 1942895388 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.