Individual provider · Type 1 NPI
Michael E. Walsh
Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
NPI number
1639210982
Active
Practice location
1420 Guerneville Rd Ste 1
Santa Rosa, CA 95403-4124
Mailing address
1420 Guerneville Rd, Ste 1
Santa Rosa, CA 95403-7233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | WO412181600 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1639210982
Michael E. Walsh's National Provider Identifier is 1639210982, issued on Feb 9, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 11, 2014.