Walters, Holly Lynn
Walters, Holly Lynn is an individual health care provider with primary practice located at 1707 Main St , La Crosse WI 54601-4200. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Walters, Holly Lynn can be contacted via phone (608) 785-0001.Contact Information
Primary practice address
1707 Main St
La Crosse WI 54601-4200
Phone: (608) 785-0001
Fax: (608) 785-0002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3719-125 | Wisconsin |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 00271 | Minnesota |
Profile Details
| NPI number | 1053465914 |
|---|---|
| LBN Legal business name | Walters, Holly Lynn |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053465914 | NPPES |
| Minnesota | Other | HP66806 | HEALTHPARTNERS |
| Minnesota | MEDICAID | 40999200 | HEALTHPARTNERS |
| Minnesota | Other | 401K8WA | HEALTHPARTNERS |
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