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General NPI Number Information
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NPI Number | 1952570780
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Entity Type | Individual
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Provider Name | KARYETTA L. WALKER EDD, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 134 KINGSHALL RD # B
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City | MOORESVILLE
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State | NC
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Zip | 28117-5712
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Country | US
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Telephone | 336-965-7362
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Fax | 704-498-0682
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Provider Business Mailing Address
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Address Line | 125 TRADE COURT SUITE F PMB 1001
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City | MOORESVILLE
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State | NC
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Zip | 28117-5546
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Country | US
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Telephone | 336-965-7362
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Fax | 704-662-0106
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6879
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License Number State | NC
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