Individual
CHRISTOPHER WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2085 RUSTIN AVE STE 3, RIVERSIDE, CA 92507-2498
(951) 955-2105
Mailing address
934 N MOUNTAIN AVE, UPLAND, CA 91786-3659
(909) 949-4667
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9060
CA
171M00000X
Case Manager/Care Coordinator
A061110322
CA
Other
Enumeration date
05/02/2019
Last updated
07/29/2024
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