Provider Demographics
NPI:1275662686
Name:WALKER, KATHERINE M (LMHC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:M
Last Name:WALKER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14255 53RD AVE S
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-4423
Mailing Address - Country:US
Mailing Address - Phone:253-970-0739
Mailing Address - Fax:253-341-4929
Practice Address - Street 1:2102 N PEARL ST
Practice Address - Street 2:SUITE 405
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-2530
Practice Address - Country:US
Practice Address - Phone:253-752-8822
Practice Address - Fax:253-752-5400
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006302101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA460477138OtherTAX ID NUMBER