Individual
MR. MIKE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 836-4499
(804) 727-8480
Mailing address
5408 CHAMBERLAYNE RD, RICHMOND, VA 23227-2407
(804) 272-2000
(804) 272-2030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004951
VA
Other
Enumeration date
12/01/2010
Last updated
01/06/2017
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