Individual provider · Type 1 NPI
Charlayne Wall, LCPC
Professional Counselor · Nampa, ID
NPI number
1437468659
Active
Practice location
1819 W Havenwood Ave
Nampa, ID 83651-5003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LCPC5560 (ID) |
Professional Counselor: Definition to come...
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About NPI 1437468659
Charlayne Wall, LCPC's National Provider Identifier is 1437468659, issued on Oct 5, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Nampa, ID. The record was last updated on Aug 31, 2014.