Doctor Name: | ANNA MARIE WALKER |
NPI Number: | 1679793798 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LADC, LPC |
License Number: | 767 |
Business Practice Address: | 206 S Mill St Eldon, MO - 650261864 |
Business Phone Number: | 5733921828 |
Business Fax Number: | |
Mailing Address: | 305 Happy Ave, ELDON |
State: | MO |
Postal Code: | 650262207 |
Phone Number: | 4052495385 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2007 |
NPI Last Update Date: | 06/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 767 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |