Individual
ADAM NICHOLAS MAISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
812 CLINTON ST STE B, ARKADELPHIA, AR 71923-5924
(870) 293-2054
(870) 464-1073
Mailing address
812 CLINTON ST STE B, ARKADELPHIA, AR 71923-5924
(870) 293-2054
(870) 464-1073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1010071
AR
101YP2500X
Professional Counselor
P10100171
AR
Other
Enumeration date
10/03/2007
Last updated
02/10/2021
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