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Individual

ANNE L. WALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MC, LISAC, LAC

Contact information

Practice address
4520 N CENTRAL AVE, SUITE 620, PHOENIX, AZ 85012-1828
(602) 279-5262
(602) 279-5393
Mailing address
4520 N CENTRAL AVE, SUITE 620, PHOENIX, AZ 85012-1828
(602) 279-5262
(602) 279-5393

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC 11366
AZ
101YP2500X
Professional Counselor
Primary
LAC 12816
AZ

Other

Enumeration date
09/23/2009
Last updated
09/23/2009
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