Individual
LAURA ANN WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
172 LINDEN DR STE 111, WINCHESTER, VA 22601-2892
(540) 536-4881
(540) 536-3274
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2888
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004240
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945247
—
VA
Enumeration date
02/04/2008
Last updated
03/17/2021
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