Individual
MRS. LISA MARIE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC-A, NCC
Contact information
Practice address
2006 VALPARAISO ST, VALPARAISO, IN 46383-3138
(219) 477-5646
Mailing address
508 WILDFLOWER WAY, WANATAH, IN 46390-9403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000522A
IN
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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