Rev. Randy Wall's National Provider Identifier (NPI) Details
Rev. Randy Wall, LPC, NCC
NPI: 1700919099
Enumeration Date: 2007-03-14
Last updated: 2007-07-08
Sole Proprietor: YES
Status: active
Postal Address: 2560 COLD SPRINGS RD E, CONCORD, NC
Phone: 704-789-3975
Primary Practice Address: 2560 COLD SPRINGS RD E, CONCORD, NC
Practice's phone: 704-789-3975