Individual
JOHN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
160 BEECHWOOD AVE, PAWTUCKET, RI 02860-5402
(401) 722-5573
Mailing address
249 ROOSEVELT AVE, PAWTUCKET, RI 02860-2134
(401) 724-8400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
10/18/2016
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