Healthcare Provider Details

I. General information

NPI: 1275445868
Provider Name (Legal Business Name): SEAN WALKAMA, MA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 BLAKELY RD STE 206
COLCHESTER VT
05446-3984
US

IV. Provider business mailing address

20 CENTRAL ST APT A
ESSEX JUNCTION VT
05452-3137
US

V. Phone/Fax

Practice location:
  • Phone: 508-317-3388
  • Fax:
Mailing address:
  • Phone: 508-317-3388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. SEAN RICHARD WALKAMA
Title or Position: OWNER
Credential: MA, LCHMC
Phone: 508-317-3388