Individual provider · Type 1 NPI
Lewis Douglas Wall Iv, LPC
Professional Counselor · Weatherford, TX
NPI number
1235847658
Active
Practice location
1221 Timber Creek Dr
Weatherford, TX 76086-6350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 85847 (TX) |
Professional Counselor: Definition to come...
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About NPI 1235847658
Lewis Douglas Wall Iv, LPC's National Provider Identifier is 1235847658, issued on Nov 15, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Weatherford, TX. The record was last updated on Nov 15, 2022.