| Doctor Name: | STARLA BROOKE WALTON |
| NPI Number: | 1013286509 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., PLPC |
| License Number: | 2011026152 |
| Business Practice Address: | 3132 N Fair Haven Loop Strafford, MO - 657578619 |
| Business Phone Number: | 4178626675 |
| Business Fax Number: | |
| Mailing Address: | 2947 W Mount Vernon St, SPRINGFIELD |
| State: | MO |
| Postal Code: | 658025125 |
| Phone Number: | 4173158824 |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2011 |
| NPI Last Update Date: | 12/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2011026152 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |