Individual
CLARE LOUISE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2400 LAKESIDE BLVD STE 115, RICHARDSON, TX 75082-4341
(469) 207-1345
Mailing address
14050 FAR HILLS LN, DALLAS, TX 75240-3741
(972) 757-0751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
82705
TX
Other
Enumeration date
02/13/2023
Last updated
05/15/2024
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