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Individual

KIAYA A. D. WALTERS

Active
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Individual

KIAYA A. D. WALTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7165
SC
101YM0800X
Mental Health Counselor
Primary
8374
SC
101YP2500X
Professional Counselor
7165
SC

Other

Enumeration date
09/19/2019
Last updated
11/18/2024
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