WALT PAUL ERICKSON

FULLERTON, CA
NPI1730278136
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
Mr. WALT PAUL ERICKSON
771 W ORANGETHORPE AVE
FULLERTON, CA 92832-2806
Phone number: 714-578-2962
Mailing Address
Mr. WALT PAUL ERICKSON
771 W ORANGETHORPE AVE
FULLERTON, CA 92832-2806
Phone number: 714-578-2962
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