Provider Demographics
NPI:1831472521
Name:WALKER, KATHERINE C (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:C
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 ELM ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-2327
Mailing Address - Country:US
Mailing Address - Phone:636-234-0035
Mailing Address - Fax:
Practice Address - Street 1:224 ELM ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-2327
Practice Address - Country:US
Practice Address - Phone:636-234-0035
Practice Address - Fax:636-234-9303
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO002316101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional