Doctor Name: | MR. WALTER ANDREW COUNTS |
NPI Number: | 1124108006 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., L.P.C. |
License Number: | 879 |
Business Practice Address: | 4825 Maccorkle Ave Sw Suite D South Charleston, WV - 253091365 |
Business Phone Number: | 3047664583 |
Business Fax Number: | 3047664599 |
Mailing Address: | 1050 Euclid Pl, HUNTINGTON |
State: | WV |
Postal Code: | 257013536 |
Phone Number: | 3045257276 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 879 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |