Individual
BRIAN P WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHC
Contact information
Practice address
279 SW BRIDGEPORT DR, PORT SAINT LUCIE, FL 34953-7112
(561) 301-2616
Mailing address
279 SW BRIDGEPORT DR, PORT SAINT LUCIE, FL 34953-7112
(561) 301-2616
(772) 242-1296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
22047
FL
Other
Enumeration date
08/20/2018
Last updated
10/02/2024
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