person
Kenneth Phillip Walter JR.
Mental Health Counselor in Vacaville, California
NPI 1043926322

Kenneth Phillip Walter JR. is a Mental Health Counselor based in Vacaville, CA and is specialized in Mental Health. Kenneth Phillip Walter JR. practices in Vacaville, CA. The NPI Number for Kenneth Phillip Walter JR. is 1043926322 and holds a License No. 131995 (California).

The current practice location address for Kenneth Phillip Walter JR. is 313 Kendal St, Vacaville, CA and can be reached out via phone at 707-330-7904 and via fax at 888-356-3203.

Location: 313 Kendal St, Vacaville, CA, 95688-3960
person
Provider Profile Details
NPI Number
1043926322
Provider Name
Kenneth Phillip Walter JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
313 Kendal St, Vacaville, CA, 95688-3960
Phone Number
707-330-7904
Fax Number
888-356-3203
Provider Enumeration Date
01/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
313 Kendal St
City
State
Zip
95688-3960
Phone Number
707-330-7904
Fax Number
888-356-3203
person
Provider Business Mailing Address Details
Address
313 Kendal St
City
State
Zip
95688-3960
Phone Number
707-330-7904
Fax Number
888-356-3203
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
131995 (California)
Definition
Definition to come...
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