Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1144563545 |
---|---|
Provider Name | Deanna Walcheck |
First Address | Kalispell, MT 59901-3120 |
Second Address | Kalispell, MT 59901-3120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2013 |
Last Update Date | 03/04/2013 |