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

MS. KELLY D WALKER, CIPS, CMHC

Active Sole Proprietor

MS. KELLY D WALKER, CIPS, CMHC is a Counselor healthcare provider located in YOUNGSTOWN, Florida. NPI 1114542354 is currently active in the NPPES registry. Verify at CMS.

Counselor · YOUNGSTOWN, FL

Registration Details

NPI Number
1114542354
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2020 (6.1757675824359 yrs)
Last Updated
Mar 30, 2021
Licenses
319062 (FL)
517068 (FL)
0090HTG (FL)
590116 (FL)
379114 (FL)
Sole Proprietor
Yes

Practice Information

Address
792 HIGHWAY 20
YOUNGSTOWN, FL, 324663517
Browse FL providers · Browse ZIP 32466
Phone
8507439978
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Mental Health Counselor
Additional Specialty
Paramedic
Additional Specialty
Community Health Worker
Additional Specialty
405300000X
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.