Individual
LAURA LYNNE WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6207 OLD KEENE MILL CT STE 11, SPRINGFIELD, VA 22152-2352
(252) 670-8824
Mailing address
6207 OLD KEENE MILL CT STE 11, SPRINGFIELD, VA 22152-2352
(252) 670-8824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
701011938
VA
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
01/27/2026
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