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NPI Code Detail

MEDICARE: MR. WALTER LEE SADLER JR. LPC

MEDICARE: MR. WALTER LEE SADLER JR. LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6628NC
2101YM0800XMental Health Counselor6628NC
3101Y00000XCounselor6628NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447453287
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WALTER LEE SADLER JR. LPC
Provider Business Mailing Address
First Line : PO BOX 1216
Second Line :
City : WILLIAMSTON
State : NC
Zip : 27892-1216
Country : US
Telephone Number : 252-792-8035
Fax Number : 252-792-8045
Provider Business Practice Location Address
First Line : 607 WASHINGTON ST
Second Line :
City : WILLIAMSTON
State : NC
Zip : 27892-2645
Country : US
Telephone Number : 252-792-8035
Fax Number : 252-792-8045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2007
Last Update Date : 11/17/2023

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