Individual
MR. CHAD WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCIT, SACIT
Contact information
Practice address
1000 N LYNNDALE DR STE C, APPLETON, WI 54914-3057
(920) 735-9010
(920) 735-9050
Mailing address
1000 N LYNNDALE DR STE C, APPLETON, WI 54914-3057
(920) 735-9010
(920) 735-9050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19124-130
WI
101YM0800X
Mental Health Counselor
Primary
4573-226
WI
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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