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Individual
MR. BRIAN WALKER
Active
Individual
MR. BRIAN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-6183
ID
101YM0800X
Mental Health Counselor
LPC-5412
ID
Other
Enumeration date
11/14/2013
Last updated
08/10/2022
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