Individual
MARK WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1925 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2617
(479) 521-1296
Mailing address
234 MADISON 7302, FAYETTEVILLE, AR 72703-8445
(479) 769-0522
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0203013
AR
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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