Individual
WILLIAM DAKOTA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 526-9552
Mailing address
615 MASTER ST APT B103, CORBIN, KY 40701-1096
(606) 627-4525
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
174172
KY
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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