Individual
TIMOTHY R WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1401 E 1ST ST, DULUTH, MN 55805-2407
(218) 728-4491
Mailing address
629 1ST AVE, TWO HARBORS, MN 55616-1505
(218) 834-5520
(218) 834-4264
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01187
MN
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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