Individual
MS. CHERYL LEE WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LADC
Contact information
Practice address
328 3RD ST SW, WILLMAR, MN 56201-3475
(320) 231-9763
Mailing address
328 3RD ST SW, WILLMAR, MN 56201-3475
(320) 231-9763
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304933
MN
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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