person
Walter C Nunnally
Mental Health Counselor in Washington, Illinois
NPI 1801854484

Walter C Nunnally is a Mental Health Counselor based in Washburn, IL and is specialized in Mental Health. Walter C Nunnally practices in Washington, IL. The NPI Number for Walter C Nunnally is 1801854484 and holds a License No. 21633 (Illinois).

The current practice location address for Walter C Nunnally is 631 N Cummings Ln, Washington, IL and can be reached out via phone at 309-444-9900 and via fax at 309-444-9901.

Location: 631 N Cummings Ln, Washington, IL, 61570-9384
person
Provider Profile Details
NPI Number
1801854484
Provider Name
Walter C Nunnally
Credential
Provider Entity Type
Individual
Gender
Male
Address
631 N Cummings Ln, Washington, IL, 61570-9384
Phone Number
309-444-9900
Fax Number
309-444-9901
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
631 N Cummings Ln
City
State
Zip
61571-7501
Phone Number
309-444-9900
Fax Number
309-444-9901
person
Provider Business Mailing Address Details
Address
631 N Cummings Ln
City
State
Zip
61571-7501
Phone Number
309-444-9900
Fax Number
309-444-9901
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
180005889 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
21633 (Illinois)
Definition
Definition to come...
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