MR. Walter Webster Roe

NPI #1750721247 in Jamul, California

Provider Information

NPI Number: 1750721247
Entity Type: Individual
Name: MR. Walter Webster Roe
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jun 27, 2013
Last Updated: Jun 27, 2013

Practice Location

Address: 17120 SKYLINE TRUCK TRL
Address 2: SPACE #1
City: Jamul
State: California
ZIP Code: 91935-3635
Phone: (619) 733-7556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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