Individual
LAUREN WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 COURT DR, GASTONIA, NC 28054-2140
(704) 884-2060
Mailing address
2505 COURT DR, GASTONIA, NC 28054-2140
(704) 884-2060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8499
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8449
LPC
NC
Enumeration date
09/29/2014
Last updated
09/29/2014
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