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NPI Code Detail

MEDICARE: MATTHEW WALTERS LMHCA

MEDICARE:   MATTHEW  WALTERS  LMHCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorIN

General Provider Information

NPI Number : 1336085950
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW WALTERS LMHCA
Provider Business Mailing Address
First Line : 360 N OAK ST
Second Line :
City : COLUMBIA CITY
State : IN
Zip : 46725-1608
Country : US
Telephone Number : 260-244-0264
Fax Number : 260-244-1983
Provider Business Practice Location Address
First Line : 360 N OAK ST
Second Line :
City : COLUMBIA CITY
State : IN
Zip : 46725-1608
Country : US
Telephone Number : 260-244-0264
Fax Number : 260-244-1983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “ MATTHEW WALTERS LMHCA” Practice Location

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