Individual
BRUCE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.,WA LICENSED
Contact information
Practice address
135 W MAIN ST, CHEHALIS, WA 98532-4817
(360) 748-6696
Mailing address
PO BOX 12982, OLYMPIA, WA 98508-2982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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