MEDICARE: LATOYA R WALKER LPC, LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2768	KS
2	101YP2500X	Professional Counselor	2014015184	MO

General Provider Information

NPI Number	:	1568874477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATOYA R WALKER LPC, LCPC

Provider Business Mailing Address
First Line	:	107 W 9TH ST STE 204
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64105-1705
Country	:	US
Telephone Number	:	816-226-6507
Fax Number	:	816-287-5557

Provider Business Practice Location Address
First Line	:	107 W 9TH ST STE 204
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64105-1705
Country	:	US
Telephone Number	:	816-226-6507
Fax Number	:	816-287-5557

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2014
Last Update Date	:	07/26/2022

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