Individual provider · Type 1 NPI

Calissa Mechel Wall

Mental Health Counselor · Fayetteville, AR

NPI number 1609649953 Active

Practice location

60 W Sunbridge Dr
Fayetteville, AR 72703-1822

Call (479) 695-1240 Map

Fax (479) 695-1242

Mailing address

2400 S 48th St
Springdale, AR 72762-6683

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA2309021 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1609649953

Calissa Mechel Wall's National Provider Identifier is 1609649953, issued on Oct 30, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayetteville, AR. The record was last updated on Oct 30, 2023.