Individual
HEIDI C WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 CITY VIEW DR STE 206, EVANSTON, WY 82930-5326
(307) 789-7915
Mailing address
350 CITY VIEW DR STE 206, EVANSTON, WY 82930-5326
(307) 789-7915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-1226
WY
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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