Individual provider · Type 1 NPI
Nichelle M. Wall, M. ED., LPC, CST-C
Professional Counselor · Bedford, TX
NPI number
1437569324
Active
Practice location
1264 Harwood Rd, 175
Bedford, TX 76021-4267
Fax (469) 359-6729
Mailing address
1169 N Burleson Blvd, 107 Pmb 242
Burleson, TX 76028-7011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 69796 (TX) |
Professional Counselor: Definition to come...
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About NPI 1437569324
Nichelle M. Wall, M. ED., LPC, CST-C's National Provider Identifier is 1437569324, issued on May 1, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bedford, TX. The record was last updated on Mar 16, 2016.