Individual
MS. TINA WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
959 CENTRE RD, WILMINGTON, DE 19805-1268
(302) 993-3800
Mailing address
2318 HAMMOND PL, KIRKWOOD GARDENS, WILMINGTON, DE 19808-4520
(302) 528-8206
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00193700
NJ
101YP2500X
Professional Counselor
Primary
PC-0000633
DE
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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