Doctor Name: | ANGELA WALKER |
NPI Number: | 1033517396 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RMHCI |
License Number: | IMH12005 |
Business Practice Address: | 2918 Palm Deer Dr Loxahatchee, FL - 334702545 |
Business Phone Number: | 5613855253 |
Business Fax Number: | |
Mailing Address: | 2918 Palm Deer Dr, LOXAHATCHEE |
State: | FL |
Postal Code: | 334702545 |
Phone Number: | 5613855253 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2014 |
NPI Last Update Date: | 12/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | IMH12005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |