Individual
BEVERLY LYNN WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC, CCS
Contact information
Practice address
3 3RD ST STE 20, BORDENTOWN, NJ 08505-1370
(609) 200-5598
Mailing address
315 4TH AVE, LINDENWOLD, NJ 08021-3306
(267) 393-3598
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00352000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861557795
—
NJ
Enumeration date
06/29/2021
Last updated
10/26/2023
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