Individual
DANIEL DEAN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC,LSW-C
Contact information
Practice address
8 OLD MILL ROAD, ELLSWORTH, ME 04605-0958
(207) 667-3210
(207) 667-3133
Mailing address
8 OLD MILL ROAD, PO BOX 958, ELLSWORTH, ME 04605-0958
(207) 667-3210
(207) 667-3133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3874
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-2548836
MAINECARE
ME
Enumeration date
03/16/2009
Last updated
03/16/2009
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