Individual
TANYA WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC-IT
Contact information
Practice address
721 OXFORD AVE, EAU CLAIRE, WI 54703-5212
(715) 839-7602
Mailing address
721 OXFORD AVE, EAU CLAIRE, WI 54703-5212
(715) 839-7602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20227
WI
101YP2500X
Professional Counselor
Primary
8452
WI
Other
Enumeration date
03/31/2022
Last updated
12/18/2023
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