person
Theodore Edwin Walls, MA,LMHC,LPC
Mental Health Counselor in Brattleboro, Vermont
NPI 1881714798

Theodore Edwin Walls is a Mental Health Counselor based in Ashfield, VT and is specialized in Mental Health. Theodore Edwin Walls practices in Brattleboro, VT and has the professional credentials of MA,LMHC,LPC. The NPI Number for Theodore Edwin Walls is 1881714798 and holds a License No. 8227 (Vermont).

The current practice location address for Theodore Edwin Walls is 54 Harris Pl Ste 105, Brattleboro, VT and can be reached out via phone at 802-451-0314 and via fax at 877-532-0268.

Location: 54 Harris Pl Ste 105, Brattleboro, VT, 01330-9724
person
Provider Profile Details
NPI Number
1881714798
Provider Name
Theodore Edwin Walls
Credential
MA,LMHC,LPC
Provider Entity Type
Individual
Gender
Male
Address
54 Harris Pl Ste 105, Brattleboro, VT, 01330-9724
Phone Number
802-451-0314
Fax Number
877-532-0268
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
54 Harris Pl Ste 105
City
State
Zip
05301-6709
Phone Number
802-451-0314
Fax Number
877-532-0268
person
Provider Business Mailing Address Details
Address
54 Harris Pl Ste 105
City
State
Zip
05301-6709
Phone Number
802-451-0314
Fax Number
877-532-0268
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
16743 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
8227 (Massachusetts)
Definition
Definition to come...
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