Emmanuel Floyd Wall , CDP
Counselor • Vancouver, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Emmanuel Wall has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Emmanuel Wall, CDP was a registered Counselor practicing in Vancouver, WA. Throughout an active medical career spanning 11 years, Emmanuel Wall provided care at the practice location at 1601 E FOURTH PLAIN BLVD BLDG 17 until profile deactivation on 2020-11-25.
Practice Location & Contact Primary Location
1601 E Fourth Plain Blvd Bldg 17
Vancouver, WA 986613753
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Vancouver, WA
Practicing in Vancouver, WA (11556 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor
Master of Social Work
Counselor - Addiction (Substance Use Disorder)
Counselor - Addiction (Substance Use Disorder)
Counselor
Counselor - Mental Health
Counselor - Addiction (Substance Use Disorder)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 25, 2020
NPI status registered as active in NPPES database
Registered at 1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 986613753 (Tel: 3603978246)
Registered at 1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 986613753 (Tel: 3603978246)
Recorded as EMMANUEL WALL, CDP
Counselor (License #CP00002167 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1601 E Fourth Plain Blvd Bldg 17
Vancouver, WA 986613753
Phone: 3603978246
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