Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Phillip Walter Jr.

Individual provider Mental Health Counselor · NPI 1043926322

Kenneth Phillip Walter Jr. is a Mental Health Counselor in Vacaville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

313 Kendal St
Vacaville, CA 95688-3960
Phone: (707) 330-7904
Fax: (888) 356-3203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 131995 (CA)

Record details

NPI number1043926322
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 30, 2023
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 27, 2023

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