KENNETH L WALTERS

JACKSONVILLE, FL
NPI1174658595
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-02-23
Last Update Date2007-07-08
Business Address
-- KENNETH L WALTERS
660 PARK ST
JACKSONVILLE, FL 32204-2933
Phone number: 904-899-6300
Mailing Address
-- KENNETH L WALTERS
660 PARK ST
JACKSONVILLE, FL 32204-2933
Phone number: