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Individual

JAMES ROBERT WALLS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
222 RICHMOND AVENUE, BUILDING 3, ROOM 203, BATAVIA, NY 14020-1227
(585) 297-1000
Mailing address
222 RICHMOND AVENUE, BUILDING 3, ROOM 203, BATAVIA, NY 14020-1227
(585) 297-1000

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004136
NY
101YP2500X
Professional Counselor
Primary
LH60683747
WA

Other

Enumeration date
04/30/2013
Last updated
07/21/2022
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