Individual
AMANDA SHARYCE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBHPSS
Contact information
Practice address
119 S KENDRICK AVE, GLENDIVE, MT 59330-1626
(406) 377-6075
Mailing address
223 GLENWOOD AVE, GLENDIVE, MT 59330-2811
(406) 591-3551
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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