Individual provider · Type 1 NPI
Michael Wall
Mental Health Counselor · Charlotte, NC
NPI number
1417529835
Active
Practice location
240 W Kingston Ave
Charlotte, NC 28203-4434
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 1417529835
Michael Wall's National Provider Identifier is 1417529835, issued on Jul 14, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Jul 14, 2021.