Individual
KRISTEN WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
50 MOODY ST, SACO, ME 04072-1536
(800) 434-3000
Mailing address
50 MOODY ST, SACO, ME 04072-1536
(800) 434-3000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC9103
ME
104100000X
Social Worker
Primary
MC23482
ME
Other
Enumeration date
06/04/2024
Last updated
06/09/2025
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