| Doctor Name: | MRS. TARA MARIE WALKER |
| NPI Number: | 1144574013 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA-ATR, LPC |
| License Number: | PC006468 |
| Business Practice Address: | 241 Main St Blakely, PA - 184471233 |
| Business Phone Number: | 5707669970 |
| Business Fax Number: | |
| Mailing Address: | 211 Simpson St, EYNON |
| State: | PA |
| Postal Code: | 184031219 |
| Phone Number: | 5707669970 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2012 |
| NPI Last Update Date: | 11/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC006468 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |