Provider Demographics
NPI:1871725010
Name:WALTERS, KAREN KLAMON (LAPC, NCC)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:KLAMON
Last Name:WALTERS
Suffix:
Gender:F
Credentials:LAPC, NCC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:23 EASTBROOK BND STE 200
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1554
Mailing Address - Country:US
Mailing Address - Phone:770-486-1140
Mailing Address - Fax:678-669-2693
Practice Address - Street 1:385 COUNTRY CLUB DR
Practice Address - Street 2:SUITE D
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7351
Practice Address - Country:US
Practice Address - Phone:678-701-1172
Practice Address - Fax:678-701-1172
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-21
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006558101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional