Individual
BRIANNA NOELLE WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA, RBT
Contact information
Practice address
1328 LAKE PARK BLVD N STE 109, CAROLINA BEACH, NC 28428
(910) 707-3770
Mailing address
10196 FLINT CT SE, LELAND, NC 28451-9231
(910) 625-5020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12967
NC
247200000X
Other Technician
—
—
Other
Enumeration date
11/17/2014
Last updated
12/03/2018
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