Individual provider · Type 1 NPI
Tina Walls, LPC, LCADC
Professional Counselor · Wilmington, DE
NPI number
1740626696
Active
Practice location
959 Centre Rd
Wilmington, DE 19805-1268
Mailing address
2318 Hammond Pl, Kirkwood Gardens
Wilmington, DE 19808-4520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00193700 (NJ) |
| Professional Counselor Primary | 101YP2500X | PC-0000633 (DE) |
Professional Counselor: Definition to come...
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About NPI 1740626696
Tina Walls, LPC, LCADC's National Provider Identifier is 1740626696, issued on May 20, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wilmington, DE. The record was last updated on May 20, 2013.