Matthew Thomas Walter, LPC
Counselor, Professional in Hazleton, PA. Individual provider (NPI-1).
NPI number1083824809
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1083824809
- Entity type
- Individual (NPI-1)
- Name
- Mr. Matthew Thomas Walter
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | PC2364 | PA | Yes |
Practice location
750 E Broad StHazleton, PA 18201-6835
Phone 570-455-6385
Mailing address
750 E Broad StHazleton, PA 18201-6835
Phone 570-455-6385
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