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Organization
WALTERS WALK
Active
Organization
WALTERS WALK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN MORETTO PHD, LPC, NCC (DIRECTOR)
(314) 731-2433
Entity
Organization
Contact information
Practice address
737 DUNN RD, HAZELWOOD, MO 63042-1740
(314) 731-2433
(314) 731-4433
Mailing address
737 DUNN RD, HAZELWOOD, MO 63042-1740
(314) 731-2433
(314) 731-4433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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