Individual
KRISTOPHER LEON WALTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3760 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7593
(208) 524-4953
(208) 524-7335
Mailing address
3760 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7593
(208) 524-4953
(208) 524-7335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-1311
ID
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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