Provider Demographics
NPI:1851618763
Name:WALKER, KRISTEN LYNN (LCMHC, MLADC, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:LYNN
Last Name:WALKER
Suffix:
Gender:F
Credentials:LCMHC, MLADC, LMHC
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:LYNN
Other - Last Name:FREDRICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, LCMHC, MLADC
Mailing Address - Street 1:713 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-3002
Mailing Address - Country:US
Mailing Address - Phone:603-657-0657
Mailing Address - Fax:603-668-9922
Practice Address - Street 1:713 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-3002
Practice Address - Country:US
Practice Address - Phone:603-657-0657
Practice Address - Fax:603-668-9922
Is Sole Proprietor?:No
Enumeration Date:2010-05-02
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH806101YM0800X
NH0829101YA0400X
MA6046101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)