Individual provider · Type 1 NPI

Brian Waggoner, LAC, NCC

Mental Health Counselor · Rogers, AR

NPI number 1376305409 Active

Practice location

5310 W Village Pkwy Ste 4
Rogers, AR 72758-8201

Call (479) 435-8388 Map

Mailing address

19369 Neills Bluff Rd
Springdale, AR 72764-8503

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA2401024 (AR)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1376305409

Brian Waggoner, LAC, NCC's National Provider Identifier is 1376305409, issued on Jan 24, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rogers, AR. The record was last updated on Jan 26, 2024.