Individual
MS. DIANA YVONNE WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC, LMFT
Contact information
Practice address
4125 S. HWY 89, PUB PLACE CENTER, OFFICE 4, JACKSON, WY 83001
(307) 739-0888
(307) 733-8351
Mailing address
8350 S HENRYS RD, JACKSON, WY 83001
(307) 739-0888
(307) 733-8351
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-505
WY
106H00000X
Marriage & Family Therapist
LMFT-072
WY
Other
Enumeration date
12/29/2008
Last updated
11/19/2015
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