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Mary Walston, LCMHC
Mental Health Counselor in Fayetteville, North Carolina
NPI 1497093975

Mary Walston is a Mental Health Counselor based in Fayetteville, NC and is specialized in Mental Health. Mary Walston practices in Fayetteville, NC and has the professional credentials of LCMHC. The NPI Number for Mary Walston is 1497093975 and holds a License No. (North Carolina).

The current practice location address for Mary Walston is 7718 Magma Dr, Fayetteville, NC and can be reached out via phone at 336-339-2865.

Location: 7718 Magma Dr, Fayetteville, NC, 28311-7426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497093975
Provider Name
Mary Walston
Credential
LCMHC
Provider Entity Type
Individual
Gender
Female
Address
7718 Magma Dr, Fayetteville, NC, 28311-7426
Phone Number
336-339-2865
Fax Number
Provider Enumeration Date
01/17/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497093975 05 NC
institution
Provider Business Practice Location Address Details
Address
7718 Magma Dr
City
Fayetteville
State
North Carolina
Zip
28311-7426
Phone Number
336-339-2865
Fax Number
person
Provider Business Mailing Address Details
Address
7718 Magma Dr
City
Fayetteville
State
North Carolina
Zip
28311-7426
Phone Number
336-339-2865
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
10538 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(North Carolina)
Definition
Definition to come...
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