Individual
MRS. KELLY ANNE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
1133 LOUISIANA AVE SUITE 209, WINTER PARK, FL 32789
(321) 234-4105
Mailing address
1133 LOUISIANA AVE SUITE 209, WINTER PARK, FL 32789
(321) 234-4105
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH12540
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
—
Enumeration date
10/15/2019
Last updated
08/05/2021
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