Individual
MS. SALLY WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, PLPC
Contact information
Practice address
13160 COUNTY ROAD 3610, SAINT JAMES, MO 65559
(573) 265-3251
Mailing address
PO BOX 189, SAINT JAMES, MO 65559-0189
(573) 265-3251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2006005453
MO
Other
Enumeration date
12/20/2006
Last updated
07/09/2007
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