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Organization
JERRY WALKER THERAPY SERVICES
Active
Organization
JERRY WALKER THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD WALKER LCPC (THERAPIST)
(217) 228-6194
Entity
Organization
Contact information
Practice address
195 S 36TH ST, SUITE 400, QUINCY, IL 62301-5801
(217) 228-6194
(217) 209-0201
Mailing address
195 S 36TH ST, SUITE 400, QUINCY, IL 62301-5801
(217) 228-6194
(217) 209-0201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.005375
IL
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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