Individual
CHRISTINE WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
5379 LYONS RD # 3173, COCONUT CREEK, FL 33073-2810
(954) 319-7010
Mailing address
941 NE 19TH AVE STE 206, FORT LAUDERDALE, FL 33304-3070
(954) 319-7010
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT3646
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMT3646
FLORIDA BOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY THERAPY AND MENTAL HEAL
FL
Enumeration date
02/16/2022
Last updated
02/16/2022
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