Individual provider · Type 1 NPI

Leland Berry Wall, LCDC

Addiction (Substance Use Disorder) Counselor · Houston, TX

NPI number 1033752589 Active

Practice location

12301 Main St
Houston, TX 77035-6207

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3948 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033752589

Leland Berry Wall, LCDC's National Provider Identifier is 1033752589, issued on Oct 28, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Houston, TX. The record was last updated on Oct 28, 2019.