Individual
TAMMY RANEE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAT
Contact information
Practice address
1969 42ND LANE, AVONDALE, CO 81022
(719) 357-7224
Mailing address
41305 OLSON RD, AVONDALE, CO 81022-9804
(409) 454-0648
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACA0008030
CO
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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