Individual
COURTNEY WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6527 COLERAIN AVE, CINCINNATI, OH 45239-5537
(513) 834-7063
Mailing address
3911 FOREST AVE, CINCINNATI, OH 45212-3930
(513) 417-5350
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
163137
OH
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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