Individual provider · Type 1 NPI
Theodore Edwin Walls, M.A., LMHC, LPC
Mental Health Counselor · Brattleboro, VT
NPI number
1881714798
Active
Practice location
54 Harris Pl Ste 105
Brattleboro, VT 05301-6709
Fax (877) 532-0268
Mailing address
228 Steady Ln
Ashfield, MA 01330-9724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 8227 (MA) |
| Professional Counselor | 101YP2500X | 16743 (TX) |
| Mental Health Counselor Primary | 101YM0800X | 068.0067951 (VT) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1881714798
Theodore Edwin Walls, M.A., LMHC, LPC's National Provider Identifier is 1881714798, issued on Apr 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brattleboro, VT. The record was last updated on Jun 18, 2022.