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General NPI Number Information
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NPI Number | 1972238541
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Entity Type | Individual
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Provider Name | ZACHARY THOMAS WALTERS LCSWA, LCASA
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Gender | Male
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 802 FAIRVIEW RD OFC 4
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City | ASHEVILLE
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State | NC
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Zip | 28803-1171
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Country | US
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Telephone | 828-367-7719
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Fax | 828-820-5503
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Provider Business Mailing Address
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Address Line | 802 FAIRVIEW RD OFC 4
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City | ASHEVILLE
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State | NC
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Zip | 28803-1171
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Country | US
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Telephone | 828-367-7719
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Fax | 828-820-5503
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-28375
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P018196
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License Number State | NC
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