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Mark Weaver
Professional Counselor in Fayetteville, Arkansas
NPI 1467193953

Mark Weaver is a Professional Counselor based in Fayetteville, AR and is specialized in Professional. Mark Weaver practices in Fayetteville, AR. The NPI Number for Mark Weaver is 1467193953 and holds a License No. P0203013 (Arkansas).

The current practice location address for Mark Weaver is 1925 N Green Acres Rd, Fayetteville, AR and can be reached out via phone at 479-521-1296.

Location: 1925 N Green Acres Rd, Fayetteville, AR, 72703-8445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467193953
Provider Name
Mark Weaver
Credential
Provider Entity Type
Individual
Gender
Male
Address
1925 N Green Acres Rd, Fayetteville, AR, 72703-8445
Phone Number
479-521-1296
Fax Number
Provider Enumeration Date
04/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1925 N Green Acres Rd
City
Fayetteville
State
Arkansas
Zip
72703-2617
Phone Number
479-521-1296
Fax Number
person
Provider Business Mailing Address Details
Address
1925 N Green Acres Rd
City
Fayetteville
State
Arkansas
Zip
72703-2617
Phone Number
479-521-1296
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
P0203013 (Arkansas)
Definition
Definition to come...
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