Individual provider · Type 1 NPI
Kelly D. Walker, CIPS, CMHC
Counselor · Youngstown, FL
NPI number
1114542354
Active
Practice location
792 Highway 20
Youngstown, FL 32466-3517
Other practice locations
- 1942 W King St, Quincy, FL 32351-2057 · (850) 567-7620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 319062 (FL) |
| Mental Health Counselor | 101YM0800X | 517068 (FL) |
| Personal Emergency Response Attendant | 146D00000X | 0090HTG (FL) |
| Community Health Worker | 172V00000X | 590116 (FL) |
| Prevention Professional | 405300000X | 379114 (FL) |
| Counselor Primary | 101Y00000X | 36-89142 (FL) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1114542354
Kelly D. Walker, CIPS, CMHC's National Provider Identifier is 1114542354, issued on Jun 13, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Youngstown, FL. The record was last updated on Mar 30, 2021.