Randy Lee Wall is a Pastoral in Concord, North Carolina. Randy Lee Wall practices all healthcare services and medical treatments related to Pastoral. The NPI Number for Randy Lee Wall is 1700919099. The last update date is 2007-07-08.
Randy Lee Wall's current location address is 2560 Cold Springs Rd E, Concord, North Carolina. You can contact this provider via phone number 7047893975. The mailing address for Randy Lee Wall is 2560 Cold Springs Rd E, Concord, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy Lee Wall |
|---|---|
| Address | 2560 Cold Springs Rd E, Concord, North Carolina |
| Phone Number | 7047893975 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPC, NCC |
NPI Number Detail
| NPI Number | 1700919099 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2560 Cold Springs Rd E |
|---|---|
| City | Concord |
| State | North Carolina (NC) |
| Post Code | 280258004 |
| Phone Number | 7047893975 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pastoral |
|---|---|
| Taxonomy | 101Yp1600X |
| Licence No | 5048 |
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Definition: A counselor who integrates spirituality and counseling to promote wellbeing. |
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What is the Randy Lee Wall's 1700919099?
The Randy Lee Wall's NPI (National Provider Identifier) Number is 1700919099. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Randy Lee Wall located?
The Randy Lee Wall is located at 2560 Cold Springs Rd E, Concord, NC 280258004.
What is Randy Lee Wall's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Randy Lee Wall is Pastoral, and the taxonomy code that categorizes this field of expertise is 101Yp1600X.
When was the Randy Lee Wall's 1700919099 issued?
The Randy Lee Wall's 1700919099 was issued on 2007-03-14.
As of what date were the Randy Lee Wall's details last updated?
The information pertaining to the Randy Lee Wall, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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