Doctor Name: | WALTER MAJOR |
NPI Number: | 1376639815 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 200172571 |
Business Practice Address: | 311 Garrett Street Fredericktown, MO - 63645 |
Business Phone Number: | 5737834104 |
Business Fax Number: | 5737834572 |
Mailing Address: | 402 South Silver Springs Road, CAPE GIRARDEAU |
State: | MO |
Postal Code: | 63703 |
Phone Number: | 5733341100 |
Fax Number: | 5733348819 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 12/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 200172571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |