Individual provider · Type 1 NPI

Fallon Victoria Wall

Mental Health Counselor · Charlotte, NC

NPI number 1033636386 Active

Practice location

610 E 7th St
Charlotte, NC 28202-2923

Mailing address

707 Regency Dr
Charlotte, NC 28211-5418

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA12803 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1033636386

Fallon Victoria Wall's National Provider Identifier is 1033636386, issued on Aug 28, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Aug 28, 2017.