Individual
JULIE ANNE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LPC
Contact information
Practice address
13303 TESSON FERRY RD STE 50, SAINT LOUIS, MO 63128-4062
(636) 379-1779
(636) 634-3496
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2022034543
MO
101YP2500X
Professional Counselor
2003006632
MO
Other
Enumeration date
11/10/2022
Last updated
12/16/2024
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