Individual
ANNETTE WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAPC
Contact information
Practice address
800 S 45TH ST, MOUNT VERNON, IL 62864-6704
(618) 242-3284
Mailing address
115 W SAINT LOUIS ST, APARTMENT A, LEBANON, IL 62254-1514
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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