Individual
CHARLES WALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17685 JUNIPER PATH, LAKEVILLE, MN 55044-9819
(952) 214-8959
(952) 214-8960
Mailing address
19085 KENWOOD WAY, LAKEVILLE, MN 55044-8918
(952) 649-2586
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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