Provider Demographics
NPI:1568697431
Name:WALTON, EMMA J (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:J
Last Name:WALTON
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:NORTH WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-4883
Mailing Address - Country:US
Mailing Address - Phone:814-723-1832
Mailing Address - Fax:814-726-8426
Practice Address - Street 1:27 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:NORTH WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-4883
Practice Address - Country:US
Practice Address - Phone:814-723-1832
Practice Address - Fax:814-726-8426
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003458101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional