Doctor Name: | MR. KURTIS LAIRD WALTON |
NPI Number: | 1275831612 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. LPC |
License Number: | |
Business Practice Address: | 600 Cordova St Suite 4 Anchorage, AK - 995013715 |
Business Phone Number: | 9072231177 |
Business Fax Number: | 9072227944 |
Mailing Address: | 600 Cordova St, Suite 4 ANCHORAGE |
State: | AK |
Postal Code: | 995013715 |
Phone Number: | 9072231177 |
Fax Number: | 9072227944 |
NPI Enumeration Date: | 03/09/2011 |
NPI Last Update Date: | 05/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |