Individual ProviderDavid WalterCounselorBehavioral Health & Social Service ProvidersPractice Address25955 W 327th St, Paola, KS 66071-4920(913) 557-9096PECOS EnrollmentBased on the most recent information from CMS, provider David Walter does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1598117863Provider TypeIndividualFull NameWalter, DavidCredentialLPCGenderMaleSole ProprietorNoEnumeration Date7/11/2016Last Updated7/11/2016Contact InformationPractice LocationPractice Address25955 W 327th St, Paola, KS 66071-4920Phone(913) 557-9096Fax(913) 294-9247Mailing LocationMailing AddressPO Box 677, Ottawa, KS 66067-0677Phone(913) 557-9096Fax(913) 294-9247Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLPC 2938Kansas