Individual
MRS. WANDA W WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
1202 RICHMOND STREET, SELMA, VA 24474
(540) 862-2489
(540) 862-3176
Mailing address
PO BOX 427, CLIFTON FORGE, VA 24422-0427
(540) 862-2489
(540) 862-3176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710000347
VA
101YP2500X
Professional Counselor
0701001809
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052570
VALUE OPTIONS
VA
01
—
261941
ANTHEM
VA
Enumeration date
08/12/2006
Last updated
09/11/2025
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