Gongola, Karen

Gongola, Karen is an individual health care provider with primary practice located at 1305 E Main St , Russellville AR 72801-5322. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gongola, Karen can be contacted via phone (479) 393-9866.

Contact Information

Primary practice address
1305 E Main St Russellville AR 72801-5322
Phone: (479) 393-9866
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P0512076 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P0512076 Arkansas

Profile Details

NPI number 1275784506
LBN Legal business name Gongola, Karen
Credentials DOCTOR PSYCHOTHERAPY
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2008
Last updated Apr 17th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers