Individual
THOMAS PATRICK WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
151 COLONY DR, ARDEN, NC 28704-3140
(828) 280-7473
Mailing address
151 COLONY DR, ARDEN, NC 28704-3140
(828) 280-7473
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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