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Individual

JODI M. WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
925 CREEKVIEW CT, PEVELY, MO 63070-2985
(636) 232-1558
Mailing address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
(888) 924-3786

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
2015032006
MO
101YM0800X
Mental Health Counselor
Primary
2026011556
MO

Other

Enumeration date
07/25/2017
Last updated
04/03/2026
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