person
Brandon Thomas Walters, LPC
Professional Counselor in Phoenix, Arizona
NPI 1295464139

Brandon Thomas Walters is a Professional Counselor based in Phoenix, AZ and is specialized in Professional. Brandon Thomas Walters practices in Phoenix, AZ and has the professional credentials of LPC. The NPI Number for Brandon Thomas Walters is 1295464139 and holds a License No. 80828 (Arizona).

The current practice location address for Brandon Thomas Walters is 1919 E Thomas Rd, Phoenix, AZ and can be reached out via phone at 602-933-0990 and via fax at 602-933-4251.

Location: 1919 E Thomas Rd, Phoenix, AZ, 85016-0008
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Provider Profile Details
NPI Number
1295464139
Provider Name
Brandon Thomas Walters
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1919 E Thomas Rd, Phoenix, AZ, 85016-0008
Phone Number
602-933-0990
Fax Number
602-933-4251
Provider Enumeration Date
06/07/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
213280 05 AZ
institution
Provider Business Practice Location Address Details
Address
1919 E Thomas Rd
City
State
Zip
85016-7710
Phone Number
602-933-0990
Fax Number
602-933-4251
person
Provider Business Mailing Address Details
Address
1919 E Thomas Rd
City
State
Zip
85016-7710
Phone Number
602-933-0990
Fax Number
602-933-4251
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC-22529 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
80828 (Texas)
Definition
Definition to come...
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