Individual
ROBERT LEE WALTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1825
(720) 217-7596
Mailing address
14642 S HIGHWAY 170, WEST FORK, AR 72774-9224
(720) 217-7596
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11203
CO
Other
Enumeration date
05/09/2011
Last updated
10/04/2018
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