Individual
JIM WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2347 ROSSVILLE BLVD, CHATTANOOGA, TN 37408-2250
(423) 265-3122
Mailing address
PO BOX 167, COLLEGEDALE, TN 37315-0167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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