Healthcare Provider Details

I. General information

NPI: 1609376524
Provider Name (Legal Business Name): KATHARINE CURRIER WALKER ATR-BC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2018
Last Update Date: 07/12/2021
Certification Date: 07/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4263 JEFFERSON OAKS CIR
FAIRFAX VA
22033-4085
US

IV. Provider business mailing address

4263 JEFFERSON OAKS CIR APT K
FAIRFAX VA
22033-4085
US

V. Phone/Fax

Practice location:
  • Phone: 703-283-5425
  • Fax:
Mailing address:
  • Phone: 703-283-5425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701010033
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: