Organization
COUNSELING SERVICES OF STARLA WALTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STARLA B WALTON MS, LPC (OWNER)
(417) 365-6031
Entity
Organization
Contact information
Practice address
601 N JEFFERSON AVE STE C, LEBANON, MO 65536-2798
(417) 365-6031
(417) 512-7047
Mailing address
2947 W MOUNT VERNON ST, SPRINGFIELD, MO 65802-5125
(417) 365-6031
(417) 512-7047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447543806
—
MO
Enumeration date
04/28/2021
Last updated
04/28/2021
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