Individual
KATIE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
100 N 5TH ST, MCALESTER, OK 74501-5084
(918) 420-5343
Mailing address
323 W 6TH ST, OKMULGEE, OK 74447-5019
(918) 756-9411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/26/2010
Last updated
04/18/2012
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