Provider Demographics
NPI:1396412326
Name:WALTERS, EMILY LOUISE-PAULA (MSW CANDIDATE)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:LOUISE-PAULA
Last Name:WALTERS
Suffix:
Gender:F
Credentials:MSW CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:978 2ND ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4545
Mailing Address - Country:US
Mailing Address - Phone:925-386-6037
Mailing Address - Fax:
Practice Address - Street 1:978 2ND ST STE 200
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4545
Practice Address - Country:US
Practice Address - Phone:925-386-6037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health