Organization
KRISTOPHER L. WALTON & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISTOPHER LEON WALTON (OWNER/PRESIDENT)
(208) 403-0135
Entity
Organization
Contact information
Practice address
2265 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 403-0135
Mailing address
2265 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 403-0135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 1311
ID
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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