Individual
KATELYN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5285 HIGHWAY N STE 103, SAINT CHARLES, MO 63304-7733
(314) 529-1713
Mailing address
3110A BENT AVE, SAINT LOUIS, MO 63116-1921
(865) 604-3630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020043216
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020043216
STATE
MO
Enumeration date
12/02/2021
Last updated
12/02/2021
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