person
Mr. Brian Waggoner, LAC,NCC
Mental Health Counselor in Rogers, Arkansas
NPI 1376305409

Brian Waggoner is a Mental Health Counselor based in Springdale, AR and is specialized in Mental Health. Brian Waggoner practices in Rogers, AR and has the professional credentials of LAC,NCC. The NPI Number for Brian Waggoner is 1376305409 and holds a License No. A2401024 (Arkansas).

The current practice location address for Brian Waggoner is 5310 W Village Pkwy Ste 4, Rogers, AR and can be reached out via phone at 479-435-8388.

Location: 5310 W Village Pkwy Ste 4, Rogers, AR, 72764-8503
person
Provider Profile Details
NPI Number
1376305409
Provider Name
Brian Waggoner
Credential
LAC,NCC
Provider Entity Type
Individual
Gender
Male
Address
5310 W Village Pkwy Ste 4, Rogers, AR, 72764-8503
Phone Number
479-435-8388
Fax Number
Provider Enumeration Date
01/24/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5310 W Village Pkwy Ste 4
City
State
Zip
72758-8201
Phone Number
479-435-8388
Fax Number
person
Provider Business Mailing Address Details
Address
5310 W Village Pkwy Ste 4
City
State
Zip
72758-8201
Phone Number
479-435-8388
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
A2401024 (Arkansas)
Definition
Definition to come...
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