Individual
DARRIS MICHAEL WALLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
333 W CORK ST UNIT 35, WINCHESTER, VA 22601-3897
(540) 431-5909
(540) 431-5366
Mailing address
115 MILL RACE DR, WINCHESTER, VA 22602-6933
(301) 481-4804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012100
VA
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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