New Genesis Counseling | |
2031 N Green Acres Rd Fayetteville AR 72703-2619 | |
(720) 217-7596 | |
Not Available |
Full Name | New Genesis Counseling |
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Speciality | Counselor - Professional |
Location | 2031 N Green Acres Rd, Fayetteville, Arkansas |
Authorized Official Name and Position | Robert Lee Walton (OWNER/AUTHORIZED OFFICIAL) |
Authorized Official Contact | 7202177596 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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New Genesis Counseling 14642 S Highway 170 West Fork AR 72774-9224 Ph: () - | New Genesis Counseling 2031 N Green Acres Rd Fayetteville AR 72703-2619 Ph: (720) 217-7596 |
NPI Number | 1821515909 |
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Provider Enumeration Date | 08/29/2017 |
Last Update Date | 10/16/2017 |
Identifier | Type | State | Issuer |
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1821515909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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