Individual
RANDI WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8232
(619) 542-4060
Mailing address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8232
(619) 542-4060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
73314
CA
283Q00000X
Psychiatric Hospital
Primary
93437
CA
Other
Enumeration date
08/07/2014
Last updated
01/14/2023
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