MRS. MITZI WALLEN, LPC
Counselor - Professional
Active
Individual
NPI: 1629330667
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | No | 5771 (SC) |
| Counselor - Professional | 101YP2500X | Yes | 5771 (SC) |
Frequently Asked Questions
NPI 1629330667 is the National Provider Identifier for MRS. MITZI WALLEN, LPC, a Counselor - Professional provider located in Goose Creek, SC. This NPI was enumerated on June 14, 2012.
MRS. MITZI WALLEN, LPC practices at 105 CENTRAL AVE UNIT 4, Goose Creek, SC 29445.
Quick Facts
- NPI
- 1629330667
- Type
- Individual
- Enumerated
- Jun 14, 2012
- Last Updated
- Dec 23, 2024
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