Individual
KIAYA A. D. WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1331 ELMWOOD AVE STE 300B, COLUMBIA, SC 29201-2150
(803) 250-5109
Mailing address
1331 ELMWOOD AVE STE 300B, COLUMBIA, SC 29201-2150
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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