Provider Demographics
NPI:1235800137
Name:WALTON, VALERIE (BS, RBT)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:WALTON
Suffix:
Gender:F
Credentials:BS, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 PORTAGE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-2713
Mailing Address - Country:US
Mailing Address - Phone:608-235-1425
Mailing Address - Fax:
Practice Address - Street 1:840 WI 136
Practice Address - Street 2:SUITE 1
Practice Address - City:BARABOO
Practice Address - State:WI
Practice Address - Zip Code:53913
Practice Address - Country:US
Practice Address - Phone:608-477-9858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor