Individual
MRS. CAROL J WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1852 LOCKHILL SELMA RD, SUITE 108, SAN ANTONIO, TX 78213-1567
(210) 340-1000
(210) 340-1004
Mailing address
1852 LOCKHILL SELMA RD, SUITE 108, SAN ANTONIO, TX 78213-1567
(210) 340-1000
(210) 340-1004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11928
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125915
MHN IDENTIFIER NUMBER
TX
01
—
237502
VALUE OPTIONS ID NUMBER
TX
01
—
3225LC
BLUE CROSS BLUE SHIELD ID
TX
01
—
7521008
AETNA PIN
TX
Enumeration date
11/27/2006
Last updated
07/09/2007
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