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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH PHILLIP WALTER JR.

Active Sole Proprietor

KENNETH PHILLIP WALTER JR. is a Mental Health Counselor healthcare provider located in VACAVILLE, California. NPI 1043926322 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · VACAVILLE, CA

Registration Details

NPI Number
1043926322
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2023 (3.5134140023316 yrs)
Last Updated
Jan 30, 2023
License
131995 (CA)
Sole Proprietor
Yes

Practice Information

Address
313 KENDAL ST
VACAVILLE, CA, 956883960
Browse CA providers · Browse ZIP 95688
Phone
7073307904
Fax
8883563203
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in VACAVILLE, CA

Name Credential NPI
MRS. PHYLLIS ANN DIMMICK MASTERS OF ART PSYCH 1003977695
MRS. TONKA BRUSHIER ATTOH 1417010919
JOHN ELKANAH NICOL 1174688469
GRACE ITSUKO MANAGO 1336204601
ERICA MACGREGOR 1063577336
SHARON FRANK 1881759116
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.