TOM WALTERS

SOUTH BEND, IN
NPI1871912774
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39002588a)
Enumeration Date2014-04-08
Last Update Date2014-07-31
Business Address
-- TOM WALTERS LMHC
415 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-533-1234
Mailing Address
-- TOM WALTERS LMHC
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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