Healthcare Provider Details

I. General information

NPI: 1114420981
Provider Name (Legal Business Name): KAREN B. WALTERS MA, NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2018
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 CENTRAL CITY PLZ
NEW KENSINGTON PA
15068-6441
US

IV. Provider business mailing address

359 HOCHBERG RD
MONROEVILLE PA
15146-1515
US

V. Phone/Fax

Practice location:
  • Phone: 724-335-9883
  • Fax:
Mailing address:
  • Phone: 724-672-7156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number5087242
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC010345
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: