Individual
BRENT WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC-S
Contact information
Practice address
524 W PARK AVE, BARBERTON, OH 44203-2580
(330) 753-1096
(330) 753-1278
Mailing address
524 W PARK AVE, BARBERTON, OH 44203-2580
(330) 753-1096
(330) 753-1278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1200721-SUPV
OH
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/24/2013
Last updated
11/15/2017
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