Individual provider · Type 1 NPI

Severin Susan Walston

Mental Health Counselor · Crescent City, CA

NPI number 1104293935 Active

Practice location

370 9th St
Crescent City, CA 95531-3432

Fax (707) 465-4572

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104293935

Severin Susan Walston's National Provider Identifier is 1104293935, issued on Aug 27, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crescent City, CA. The record was last updated on Aug 27, 2015.