Doctor Name: | MISS HARRIET WALL |
NPI Number: | 1164828794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 000853 |
Business Practice Address: | 1014 Canton St Roswell, GA - 300753615 |
Business Phone Number: | 7709932676 |
Business Fax Number: | |
Mailing Address: | 1014 Canton St, ROSWELL |
State: | GA |
Postal Code: | 300753615 |
Phone Number: | 7709932676 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2014 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 000853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |