Individual provider · Type 1 NPI

Deborah A. Wall

Addiction (Substance Use Disorder) Counselor · Elizabethtown, KY

NPI number 1629111968 Active

Practice location

107 Cranes Roost Ct
Elizabethtown, KY 42701-3650

Call (270) 765-2605 Map

Fax (270) 234-8572

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1629111968

Deborah A. Wall's National Provider Identifier is 1629111968, issued on Feb 15, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elizabethtown, KY. The record was last updated on Jul 8, 2007.