Most Relevant Information
Provider Data
| NPI Number: | 1003311655 |
| Provider Name: | CHERYL LEE WALTER BS, LADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 304933 |
Most Important Dates
| Enumeration Date: | 03/27/2018 |
| Last Updated: | 03/27/2018 |
Provider Practice Location
328 3RD ST SW
WILLMAR
MN
562013475
Practice Location Phone/Fax
| Phone: | 3202319763 |
| Fax: |
Provider Mailing Location
328 3RD ST SW
WILLMAR
MN
562013475
Provider Mailing Phone/Fax
| Phone: | 3202319763 |
| Fax: |