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Alicia D Wagner
Mental Health Counselor in Fayetteville, Arkansas
NPI 1285410308

Alicia D Wagner is a Mental Health Counselor based in Fayetteville, AR and is specialized in Mental Health. Alicia D Wagner practices in Fayetteville, AR. The NPI Number for Alicia D Wagner is 1285410308 and holds a License No. A2307011 (Arkansas).

The current practice location address for Alicia D Wagner is 3680 N Investment Dr Ste 1, Fayetteville, AR and can be reached out via phone at 479-435-9356.

Location: 3680 N Investment Dr Ste 1, Fayetteville, AR, 72703-5458
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285410308
Provider Name
Alicia D Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
3680 N Investment Dr Ste 1, Fayetteville, AR, 72703-5458
Phone Number
479-435-9356
Fax Number
Provider Enumeration Date
09/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3680 N Investment Dr Ste 1
City
Fayetteville
State
Arkansas
Zip
72703-5458
Phone Number
479-435-9356
Fax Number
person
Provider Business Mailing Address Details
Address
3680 N Investment Dr Ste 1
City
Fayetteville
State
Arkansas
Zip
72703-5458
Phone Number
479-435-9356
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
A2307011 (Arkansas)
Definition
Definition to come...
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