Individual
MISS KATHERINE BLAIR WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 686-0234
(704) 376-4570
Mailing address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 686-0234
(704) 376-4570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2562
NC
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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