| Doctor Name: | MR. STEVEN PAUL WALLS |
| NPI Number: | 1124213665 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | |
| Business Practice Address: | 11 West Victory Way Suite# 209 Craig, CO - 81625 |
| Business Phone Number: | 9708245552 |
| Business Fax Number: | 9708245555 |
| Mailing Address: | 11 West Victory Way, Suite # 209 CRAIG |
| State: | CO |
| Postal Code: | 81625 |
| Phone Number: | 9708245552 |
| Fax Number: | 9708245555 |
| NPI Enumeration Date: | 09/07/2007 |
| NPI Last Update Date: | 12/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |