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Individual
EDWARD CHARLES WALTHER
Active
Individual
EDWARD CHARLES WALTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A0507811218
CA
171M00000X
Case Manager/Care Coordinator
—
NULL
172V00000X
Community Health Worker
A050781218
CA
225400000X
Rehabilitation Practitioner
Primary
A05781218
CA
Other
Enumeration date
11/10/2014
Last updated
05/13/2025
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