Theodore Edwin Walls, MA, LMHC, LPC
Theodore Edwin Walls, MA, LMHC, LPC is a Mental Health Counselor in Brattleboro, Vermont. Qualified in 1998, 28 years ago. Practices as a sole proprietor. Licensed in Massachusetts, Texas and Vermont.
- Years since qualifying
- 28
- Licensed in
- MA, TX, VT
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
54 Harris Pl Ste 105Brattleboro, VT 05301-6709
Phone: (802) 451-0314
Fax: (877) 532-0268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 068.0067951 (VT) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 8227 (MA) |
| Professional Counselor | Taxonomy 101YP2500X · Licence 16743 (TX) |
Record details
| NPI number | 1881714798 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MA , LMHC , LPC |
| Sole proprietor | Yes |
| NPI enumerated | April 2, 2007 |
| Last updated in NPPES | June 18, 2022 |
| Certification date | June 18, 2022 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 1998 (28 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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