Individual
EDWARD CHARLES WALTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
470 E 3RD ST STE C, LOS ANGELES, CA 90013-1630
(213) 620-5712
(213) 621-4155
Mailing address
470 E 3RD ST STE C, LOS ANGELES, CA 90013-1630
(213) 620-5712
(213) 621-4155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A0507811218
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
A050781218
CA
225400000X
Rehabilitation Practitioner
Primary
A05781218
CA
Other
Enumeration date
11/10/2014
Last updated
05/13/2025
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