Individual provider · Type 1 NPI
Vida L. Weatherford Walsh, LPC, LCDC
Mental Health Counselor · Georgetown, TX
NPI number
1750639142
Active
Practice location
624 S Austin Ave, Suite 220
Georgetown, TX 78626-5707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11166 (TX) |
| Mental Health Counselor Primary | 101YM0800X | 65085 (TX) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1750639142
Vida L. Weatherford Walsh, LPC, LCDC's National Provider Identifier is 1750639142, issued on Aug 16, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Georgetown, TX. The record was last updated on Aug 16, 2012.