Individual provider · Type 1 NPI

Kenneth L. Walters

Addiction (Substance Use Disorder) Counselor · Jacksonville, FL

NPI number 1174658595 Active

Practice location

660 Park St
Jacksonville, FL 32204-2933

Call (904) 899-6300 Map

Fax (904) 899-6380

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174658595

Kenneth L. Walters's National Provider Identifier is 1174658595, issued on Feb 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2007.