Individual
MRS. MARILYN JOYCE WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LPC,ATR-BC
Contact information
Practice address
1421 W 47TH ST, KANSAS CITY, MO 64112-1103
(816) 561-1622
Mailing address
17801 SYCAMORE ST, HOLT, MO 64048-8988
(816) 320-3260
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CS002199
MO
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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