LARRY L WALLS LICENSED PROFESSIONA NPI 1720403082

NPI Information

  • NPI: 1720403082
  • Provider Name: LARRY L WALLS, LICENSED PROFESSIONA
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: JUNEAU COUNTY DEPT OF HUMAN SERVICES
    200 HICKORY ST
    MAUSTON, WI
    ZIP 53948
  • Phone: (608) 847-2400

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NPI Details

Larry L Walls, LICENSED PROFESSIONA is a professional counselor in Mauston, WI. Larry L Walls, LICENSED PROFESSIONA NPI is 1720403082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

JUNEAU COUNTY DEPT OF HUMAN SERVICES
200 HICKORY ST
MAUSTON, WI
ZIP 53948
Phone: (608) 847-2400
Fax: (608) 847-9421

The enumeration date for this NPI number is 2/24/2014 and was last updated on 6/29/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional6769-125WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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