| Doctor Name: | ADAM NICHOLAS MAISEN |
| NPI Number: | 1144417171 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | P1010071 |
| Business Practice Address: | 2607 Caddo St Suite 6 Arkadelphia, AR - 719235307 |
| Business Phone Number: | 8702308217 |
| Business Fax Number: | 8702308201 |
| Mailing Address: | 2607 Caddo St, Suite 6 ARKADELPHIA |
| State: | AR |
| Postal Code: | 719235307 |
| Phone Number: | 8702308217 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2007 |
| NPI Last Update Date: | 06/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | P1010071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |