Individual provider · Type 1 NPI

Gregory Wall, LCPC-C

Mental Health Counselor · Bath, ME

NPI number 1861235210 Active

Practice location

40 Front St
Bath, ME 04530-2507

Mailing address

104 Head Tide Rd
Alna, ME 04535-3014

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XXL7541 (ME)

Mental Health Counselor: Definition to come...

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About NPI 1861235210

Gregory Wall, LCPC-C's National Provider Identifier is 1861235210, issued on Jun 14, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bath, ME. The record was last updated on Jun 14, 2024.