Individual
MR. BRIAN WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, NCC
Contact information
Practice address
5310 W VILLAGE PKWY STE 4, ROGERS, AR 72758-8201
(479) 435-8388
Mailing address
19369 NEILLS BLUFF RD, SPRINGDALE, AR 72764-8503
(630) 740-7705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2401024
AR
Other
Enumeration date
01/24/2024
Last updated
01/26/2024
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