IndividualActive
Gregory Wall, LCPC-C
NPI 1861235210 · Mental Health Counselor · Bath, ME
Provider details
- NPI number
- 1861235210
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC-C
- Sex
- Male
- Sole proprietor
- No
- License
- XL7541 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
40 Front St
Bath, ME 04530-2507
Phone: (215) 873-4598
Approximate (ZIP-level) locationGet directions
Mailing address
104 Head Tide Rd
Alna, ME 04535-3014
Registry dates
- Enumerated
- 2024-06-14
- Last updated
- 2024-06-14
- Certified
- 2024-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.