Individual provider · Type 1 NPI

Kenneth Phillip Walter Jr.

Mental Health Counselor · Vacaville, CA

NPI number 1043926322 Active

Practice location

313 Kendal St
Vacaville, CA 95688-3960

Fax (888) 356-3203

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X131995 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1043926322

Kenneth Phillip Walter Jr.'s National Provider Identifier is 1043926322, issued on Jan 30, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vacaville, CA. The record was last updated on Jan 30, 2023.