Individual
ANGELA DAWN WALISKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, PHD
Contact information
Practice address
4960 SPRINGHOUSE DR., SPRINGDALE, AR 72762
(479) 750-2020
(479) 872-2441
Mailing address
PO BOX 6430, SPRINGDALE, AR 72766-6430
(479) 750-2020
(479) 872-2441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0203010
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X701
ARKANSAS BCBS
AR
Enumeration date
10/02/2006
Last updated
07/08/2007
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