Walton, Wanda W

Walton, Wanda W is an sole proprietor health care provider with primary practice located at 1202 Richmond Street , Selma VA 24474. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Walton, Wanda W can be contacted via phone (540) 862-2489.

Contact Information

Primary practice address
1202 Richmond Street Selma VA 24474
Phone: (540) 862-2489
Fax: (540) 862-3176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710000347 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701001809 Virginia

Profile Details

NPI number 1760494785
LBN Legal business name Walton, Wanda W
Credentials LPC, CSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
Last updated Jul 8th, 2007 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760494785 NPPES
Virginia Other 052570 VALUE OPTIONS
Virginia Other 261941 VALUE OPTIONS

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