Individual
CYNTHIA J WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3004 E WASHINGTON ST, BLOOMINGTON, IL 61704-4654
(309) 663-9887
Mailing address
3004 E WASHINGTON ST, BLOOMINGTON, IL 61704-4654
(309) 663-9887
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
08/01/2006
Last updated
04/12/2008
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