Walton, Amanda L

Walton, Amanda L is an individual health care provider with primary practice located at 3686 Us Highway 331 South , Defuniak Springs FL 32435-8463. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Walton, Amanda L can be contacted via phone (850) 892-8035.

Contact Information

Primary practice address
3686 Us Highway 331 South Defuniak Springs FL 32435-8463
Phone: (850) 892-8035
Fax: (850) 892-8074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 11323 Florida

Profile Details

NPI number 1407104003
LBN Legal business name Walton, Amanda L
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated Sep 4th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407104003 NPPES
Florida Other MH 11323 LICENSED MENTAL HEALTH COUNSELOR

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