Walter, Diana Yvonne

Walter, Diana Yvonne is an sole proprietor health care provider with primary practice located at 4125 S. Hwy 89 Pub Place Center, Office 4, Jackson WY 83001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Walter, Diana Yvonne can be contacted via phone (307) 739-0888.

Contact Information

Primary practice address
4125 S. Hwy 89 Pub Place Center, Office 4 Jackson WY 83001
Phone: (307) 739-0888
Fax: (307) 733-8351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-505 Wyoming
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT-072 Wyoming

Profile Details

NPI number 1376789198
LBN Legal business name Walter, Diana Yvonne
Credentials M.S., LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2008
Last updated Nov 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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