Individual
BRENDAN J WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC, LCAS
Contact information
Practice address
3200 PARK RD, CHARLOTTE, NC 28209-2004
(704) 577-7464
Mailing address
527 LAMAR AVE, CHARLOTTE, NC 28204-2335
(704) 577-7464
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
28824-A
NC
101YP2500X
Professional Counselor
Primary
A18873
NC
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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