Provider Demographics
NPI:1124108006
Name:COUNTS, WALTER ANDREW (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:WALTER
Middle Name:ANDREW
Last Name:COUNTS
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 EUCLID PL
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-3536
Mailing Address - Country:US
Mailing Address - Phone:304-525-7276
Mailing Address - Fax:
Practice Address - Street 1:4825 MACCORKLE AVE SW
Practice Address - Street 2:SUITE D
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-1365
Practice Address - Country:US
Practice Address - Phone:304-766-4583
Practice Address - Fax:304-766-4599
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV879101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional