Individual
MR. WALTER AMOS ABBOTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS, LPC
Contact information
Practice address
820 STATE FARM RD, BOONE, NC 28607-4996
(828) 262-3382
Mailing address
146 WILSON COFFEY RD, BLOWING ROCK, NC 28605
(828) 295-7762
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
905
NC
Other
Enumeration date
02/28/2007
Last updated
11/28/2007
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