Individual provider · Type 1 NPI
Edward Walls
Addiction (Substance Use Disorder) Counselor · Fullerton, CA
NPI number
1871907972
Active
Practice location
771 W.orangethorpe Ave.
Fullerton, CA 92832
Mailing address
771 W Orangethorpe Ave
Fullerton, CA 92832-2806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 300042BN (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 300042BN |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1871907972
Edward Walls's National Provider Identifier is 1871907972, issued on Jun 17, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fullerton, CA. The record was last updated on Jun 17, 2014.