Individual
FELECIA WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 MASON ST, FLINT, MI 48503-2421
(810) 496-5777
Mailing address
725 MASON ST, FLINT, MI 48503-2421
(810) 496-5777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/08/2018
Last updated
08/26/2025
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