Individual provider · Type 1 NPI
Tom James Wall, MFT
Mental Health Counselor · San Diego, CA
NPI number
1104991074
Active
Practice location
545 Laurel St
San Diego, CA 92101-1634
Fax (619) 233-0453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104991074
Tom James Wall, MFT's National Provider Identifier is 1104991074, issued on Nov 22, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Sep 13, 2007.