Individual provider · Type 1 NPI

Michael Wayne Wall, LPC

Professional Counselor · Mount Airy, NC

NPI number 1669799805 Active

Practice location

784 W Lebanon St
Mount Airy, NC 27030-2218

Call (336) 293-3603 Map

Mailing address

PO Box 607
Toast, NC 27049-0607

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3233 (NC)

Professional Counselor: Definition to come...

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About NPI 1669799805

Michael Wayne Wall, LPC's National Provider Identifier is 1669799805, issued on Apr 28, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mount Airy, NC. The record was last updated on Apr 28, 2010.