Doctor Name: | SHERRIE L WALTER |
NPI Number: | 1003262080 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC-CIT |
License Number: | 3065-226 |
Business Practice Address: | 571 Braund St Onalaska, WI - 546508556 |
Business Phone Number: | 6087857000 |
Business Fax Number: | 6087857477 |
Mailing Address: | 571 Braund St, ONALASKA |
State: | WI |
Postal Code: | 546508556 |
Phone Number: | 6087857000 |
Fax Number: | 6087857477 |
NPI Enumeration Date: | 05/10/2016 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3065-226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |