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Walt Paul Erickson

Counselor, Addiction (Substance Use Disorder) in Fullerton, CA. Individual provider (NPI-1).

NPI number1730278136
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1730278136
Entity type
Individual (NPI-1)
Name
Mr. Walt Paul Erickson
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 12, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

771 W Orangethorpe Ave
Fullerton, CA 92832-2806

Phone 714-578-2962 · Fax 714-578-2960

Mailing address

771 W Orangethorpe Ave
Fullerton, CA 92832-2806

Phone 714-578-2962 · Fax 714-578-2960

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