Provider Demographics
NPI:1265849293
Name:WALKER, KENYETTA LAFRANCIS (LPC, LCDC)
Entity type:Individual
Prefix:MS
First Name:KENYETTA
Middle Name:LAFRANCIS
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 S FORT HOOD STREET
Mailing Address - Street 2:SUITE F
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-2300
Mailing Address - Country:US
Mailing Address - Phone:254-213-9649
Mailing Address - Fax:254-415-7326
Practice Address - Street 1:2700 S FORT HOOD ST
Practice Address - Street 2:SUITE F
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-2308
Practice Address - Country:US
Practice Address - Phone:254-213-9649
Practice Address - Fax:254-415-7326
Is Sole Proprietor?:No
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12507101YA0400X
TX72684101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)