Individual
JANIS NELSON WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPCC
Contact information
Practice address
11230 GOLD EXPRESS DR # 310-254, GOLD RIVER, CA 95670-4484
(916) 365-7874
Mailing address
11230 GOLD EXPRESS DR # 310-254, GOLD RIVER, CA 95670-4484
(916) 365-7874
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
46779
CA
101YP2500X
Professional Counselor
80
CA
101YP2500X
Professional Counselor
80
—
106H00000X
Marriage & Family Therapist
46779
CA
106H00000X
Marriage & Family Therapist
46779
—
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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