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Organization

NEW GENESIS COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT LEE WALTON III LPC (OWNER/AUTHORIZED OFFICIAL)
(720) 217-7596
Entity
Organization

Contact information

Practice address
2031 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2619
(720) 217-7596
Mailing address
14642 S HIGHWAY 170, WEST FORK, AR 72774-9224

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
08/29/2017
Last updated
10/16/2017
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