Individual provider · Type 1 NPI
Diana Yvonne Walter, M.S., LPC, LMFT
Professional Counselor · Jackson, WY
NPI number
1376789198
Active
Practice location
4125 S. Hwy 89, Pub Place Center, Office 4
Jackson, WY 83001
Fax (307) 733-8351
Mailing address
8350 S Henrys Rd
Jackson, WY 83001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-505 (WY) |
| Marriage & Family Therapist | 106H00000X | LMFT-072 (WY) |
Professional Counselor: Definition to come...
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About NPI 1376789198
Diana Yvonne Walter, M.S., LPC, LMFT's National Provider Identifier is 1376789198, issued on Dec 29, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, WY. The record was last updated on Nov 19, 2015.