Individual
WALTER AGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
631 WILLOW CREEK RD, LEICESTER, NC 28748-5646
(828) 318-0148
Mailing address
631 WILLOW CREEK RD, LEICESTER, NC 28748-5646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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