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General NPI Number Information
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NPI Number | 1154337160
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Entity Type | Individual
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Provider Name | KENNETH GAMALIEL WALKER SR. LPC, LMFT
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1230 HIGHTOWER RD NW
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City | ATLANTA
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State | GA
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Zip | 30318-3822
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Country | US
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Telephone | 404-375-7744
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Fax | 404-794-0151
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Provider Business Mailing Address
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Address Line | 3505 BOULDER PARK DR SW
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City | ATLANTA
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State | GA
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Zip | 30331-1805
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Country | US
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Telephone | 404-375-7744
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Fax | 404-691-2377
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 000404
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000571
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License Number State | GA
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