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MR. PHILIP WAYNE AARON M.A., CRC, LAC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1245421502

Individual Registrant:
MR. PHILIP WAYNE AARON M.A., CRC, LAC
Gender: M
Sole Proprietor

Location and contact information for practice:
4323 JEFFERSON AVE  TEXARKANA, AR 71854-1515 US
Tel: 870-773-0700  Fax: --

Contact information for business:
5810 HIGHWAY 29 S  HOPE, AR 71801-1039 US
Tel: 870-777-0632  Fax: --

Registration Information:
NPI: 1245421502
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
ARA0707053

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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