Individual
BETCY WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9180 ESTERO PARK COMMONS BLVD, SUITE 6, ESTERO, FL 33928-3218
(239) 595-3022
Mailing address
21071 SIX LS FARM RD, ESTERO, FL 33928-9651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH12169
FL
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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