Individual
KEVIN R WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3220 WISCONSIN AVE, JOPLIN, MO 64804-4017
(417) 347-7600
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7579
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006017140
MO
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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