Individual
ANNE L. WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC, LISAC, LAC
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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