Walters, Timothy R

Walters, Timothy R is an individual health care provider with primary practice located at 1401 E 1St St , Duluth MN 55805-2407. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Walters, Timothy R can be contacted via phone (218) 728-4491.

Contact Information

Primary practice address
1401 E 1St St Duluth MN 55805-2407
Phone: (218) 728-4491
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 01187 Minnesota

Profile Details

NPI number 1205195294
LBN Legal business name Walters, Timothy R
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2012
Last updated May 10th, 2012 - about 14 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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