Individual
AUDREY WALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRW
Contact information
Practice address
4343 WILLIAMSBOURGH DR, SACRAMENTO, CA 95823-2006
(916) 395-3552
(916) 473-5766
Mailing address
4343 WILLIAMSBOURGH DR, SACRAMENTO, CA 95823-2006
(916) 395-3552
(916) 473-5766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RW8261
CA
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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