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JENNIFER LEE WALTER LPC, MA

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1790998144

Individual Registrant:
 JENNIFER LEE WALTER LPC, MA
Gender: F
Sole Proprietor

Location and contact information for practice:
919 3RD AVE  MONTE VISTA, CO 81144-1418 US
Tel: 719-850-1648  Fax: --

Contact information for business:
919 3RD AVE PO BOX 166 MONTE VISTA, CO 81144-1418 US
Tel: --  Fax: --

Registration Information:
NPI: 1790998144
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
CO4592

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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