Individual
MS. SUSAN WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPCC
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 989-9799
Mailing address
601 W SAN MATEO RD, APT 195, SANTA FE, NM 87505-3935
(505) 989-9799
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0093441
NM
Other
Enumeration date
08/02/2006
Last updated
12/29/2016
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