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Individual

MRS. LAURA MARIE WALTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., LPC

Contact information

Practice address
613 CAMPUS DR STE 200, ABINGDON, VA 24210-9703
(276) 628-1186
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013875
VA
101YP2500X
Professional Counselor
C0800173
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340720558
OH
Enumeration date
01/18/2012
Last updated
04/08/2025
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