Individual provider · Type 1 NPI

Bill Walls Iv

Student in an Organized Health Care Education/Training Program · Stockton, CA

NPI number 1881291557 Active

Practice location

130 W Flora St
Stockton, CA 95202-1636

Call (209) 658-2448 Map

Other practice locations

  • 1212 N California St, Stockton, CA 95202-1552 · (888) 468-9370

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1881291557

Bill Walls Iv's National Provider Identifier is 1881291557, issued on Oct 6, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on Sep 25, 2026.