BRIAN WAGGONER

ROGERS, AR
NPI1376305409
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  A2401024)
Enumeration Date2024-01-24
Last Update Date2024-01-26
Business Address
Mr. BRIAN WAGGONER LAC, NCC
5310 W VILLAGE PKWY STE 4
ROGERS, AR 72758-8201
Phone number: 479-435-8388
Mailing Address
Mr. BRIAN WAGGONER LAC, NCC
19369 NEILLS BLUFF RD
SPRINGDALE, AR 72764-8503
Phone number: 630-740-7705