Individual provider · Type 1 NPI

Lisa Nicole Walls, M.ED.

Addiction (Substance Use Disorder) Counselor · Lawrenceville, GA

NPI number 1154510915 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30045-8444

Call (770) 339-5377 Map

Fax (770) 339-5016

Mailing address

9239 Scarlett Dr SW
Covington, GA 30014-2086

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1154510915

Lisa Nicole Walls, M.ED.'s National Provider Identifier is 1154510915, issued on Oct 17, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lawrenceville, GA. The record was last updated on Oct 17, 2007.