Doctor Name: | MR. BURTON LEITH WALKER |
NPI Number: | 1164442042 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMFT |
License Number: | MFC 13004 |
Business Practice Address: | 3149 E Highway 246 Santa Ynez, CA - 934609634 |
Business Phone Number: | 8056887779 |
Business Fax Number: | 8056887779 |
Mailing Address: | Po Box 1673, SANTA YNEZ |
State: | CA |
Postal Code: | 934601673 |
Phone Number: | 8056887779 |
Fax Number: | 8056887779 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFC 13004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |