Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1144807132 |
---|---|
Provider Name | Ms. Megan Cheyanne Walton |
First Address | Oroville, CA 95966-5148 |
Second Address | Chico, CA 95926-2460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2021 |
Last Update Date | 25/03/2021 |