Individual provider · Type 1 NPI

Brandon Thomas Walters, LPC

Professional Counselor · Phoenix, AZ

NPI number 1295464139 Active

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Fax (602) 933-4251

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008

Other practice locations

  • 4730 Fairmount St Apt 5321, Dallas, TX 75219-1117 · (501) 766-0330

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X80828 (TX)
Professional Counselor Primary 101YP2500XLPC-22529 (AZ)

Professional Counselor: Definition to come...

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About NPI 1295464139

Brandon Thomas Walters, LPC's National Provider Identifier is 1295464139, issued on Jun 7, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 16, 2024.