KENNETH PHILLIP WALTER

VACAVILLE, CA
NPI1043926322
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  131995)
Enumeration Date2023-01-30
Last Update Date2023-01-30
Business Address
KENNETH PHILLIP WALTER
313 KENDAL ST
VACAVILLE, CA 95688-3960
Phone number: 707-330-7904
Mailing Address
KENNETH PHILLIP WALTER
313 KENDAL ST
VACAVILLE, CA 95688-3960
Phone number: 707-330-7904
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