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Nichelle M. Wall, MED,LPC,CST-C
Professional Counselor in Bedford, Texas
NPI 1437569324

Nichelle M. Wall is a Professional Counselor based in Burleson, TX and is specialized in Professional. Nichelle M. Wall practices in Bedford, TX and has the professional credentials of MED,LPC,CST-C. The NPI Number for Nichelle M. Wall is 1437569324 and holds a License No. 69796 (Texas).

The current practice location address for Nichelle M. Wall is 1264 Harwood Rd, Bedford, TX and can be reached out via phone at 214-396-6503 and via fax at 469-359-6729.

Location: 1264 Harwood Rd, Bedford, TX, 76028-7011
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Provider Profile Details
NPI Number
1437569324
Provider Name
Nichelle M. Wall
Credential
MED,LPC,CST-C
Provider Entity Type
Individual
Gender
Female
Address
1264 Harwood Rd, Bedford, TX, 76028-7011
Phone Number
214-396-6503
Fax Number
469-359-6729
Provider Enumeration Date
05/01/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
220346501 05 TX
institution
Provider Business Practice Location Address Details
Address
1264 Harwood Rd
City
State
Zip
76021-4267
Phone Number
214-396-6503
Fax Number
469-359-6729
person
Provider Business Mailing Address Details
Address
1264 Harwood Rd
City
State
Zip
76021-4267
Phone Number
214-396-6503
Fax Number
469-359-6729
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
69796 (Texas)
Definition
Definition to come...
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