Individual
MR. BRIAN KEITH WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3019 FALSTAFF RD, RALEIGH, NC 27610-1812
(919) 250-7000
(919) 231-3231
Mailing address
1213 CHIMNEY HILL DR, APEX, NC 27502-6416
(919) 896-4430
(919) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
7369
NC
101YP2500X
Professional Counselor
Primary
8524
SC
Other
Enumeration date
05/03/2010
Last updated
09/08/2023
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