Individual
CARYN M. WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
504 1ST ST. S., VIRGINIA, MN 55792
(218) 741-4714
(218) 741-3080
Mailing address
PO BOX 1188, 629 S. 13TH ST., VIRGINIA, MN 55792
(218) 741-4714
(218) 741-3080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC00402
MN
101YP2500X
Professional Counselor
Primary
CC00402
MN
Other
Enumeration date
01/19/2012
Last updated
12/09/2014
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