Provider Demographics
NPI:1629287982
Name:WALKER, KATHY L (MA, NCC, LPC)
Entity Type:Individual
Prefix:MISS
First Name:KATHY
Middle Name:L
Last Name:WALKER
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 1:196 HOPEWELL WERTSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08525-1008
Mailing Address - Country:US
Mailing Address - Phone:609-333-0558
Mailing Address - Fax:
Practice Address - Street 1:80 W BROAD ST
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08525-1921
Practice Address - Country:US
Practice Address - Phone:609-558-6224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00426100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37PC00426100OtherNOT UNDER INSURANCE - SLIDING SCALE LPC LICENSE #