MS. Kelly D Walker, CIPS, CMHC

NPI #1114542354 in Youngstown, Florida

Provider Information

NPI Number: 1114542354
Entity Type: Individual
Name: MS. Kelly D Walker, CIPS, CMHC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: CIPS, CMHC
Enumeration Date: Jun 13, 2020
Last Updated: Mar 30, 2021

Practice Location

Address: 792 HIGHWAY 20
City: Youngstown
State: Florida
ZIP Code: 32466-3517
Phone: (850) 743-9978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Personal Emergency Response Attendant	146D00000X
Community Health Worker	172V00000X
Prevention Professional	405300000X
Counselor	101Y00000X	Primary

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