Individual provider · Type 1 NPI

Aspin Walta

Mental Health Counselor · Centralia, IL

NPI number 1083348825 Active

Practice location

904 M L King Dr
Centralia, IL 62801-3058

Fax (618) 533-0012

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083348825

Aspin Walta's National Provider Identifier is 1083348825, issued on Jul 15, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centralia, IL. The record was last updated on Jul 15, 2022.