Individual provider · Type 1 NPI

Taylor Katherine Wall, MA, LPCC

Mental Health Counselor · Bloomington, MN

NPI number 1649959008 Active

Practice location

1801 American Blvd E Ste 8
Bloomington, MN 55425-1230

Mailing address

3210 Manor Dr
Golden Valley, MN 55422-3827

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1649959008

Taylor Katherine Wall, MA, LPCC's National Provider Identifier is 1649959008, issued on Jul 13, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, MN. The record was last updated on Jul 13, 2023.