Individual
ROBERTA WALSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
36 ROMMEL AVE, SAVANNAH, GA 31408-1740
(678) 748-1774
Mailing address
36 ROMMEL AVE, SAVANNAH, GA 31408-1740
(678) 748-1774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC012718
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3140631408
OTHER
—
Enumeration date
02/15/2022
Last updated
02/15/2022
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