Individual
EILEEN WALTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 RANDALL CT, GENEVA, IL 60134-3911
(630) 262-1070
Mailing address
881 MANCHESTER CRSE, GENEVA, IL 60134-3456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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