Individual
DOUGLAS A WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1010 N BREAZEALE AVE, UNIT C, MOUNT OLIVE, NC 28365-1106
(919) 658-7500
(919) 658-7509
Mailing address
PO BOX 427, MOUNT OLIVE, NC 28365-0427
(919) 658-7500
(919) 658-7509
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2240
NC
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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