Individual
TABITHA R WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8994 HIGHWAY 70, NASHVILLE, TN 37221-5809
(615) 422-5161
Mailing address
8994 HIGHWAY 70, NASHVILLE, TN 37221-5809
(360) 450-1064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
122447
CA
1041C0700X
Clinical Social Worker
Primary
9332
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122447
STATE OF CALIFORNIA BOARD OF BEHAVIORAL SCIENCES
CA
01
—
9332
TENNESSEE BOARD OF SOCIAL WORKER LICENSURE
TN
Enumeration date
12/10/2024
Last updated
12/10/2024
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