Individual
JACQUELYN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 LANGDON ST, SPARTANBURG, SC 29302-1614
(864) 549-0222
Mailing address
147 BROOKMONT LN, FOUNTAIN INN, SC 29644-9314
(803) 570-6446
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10553
SC
Other
Enumeration date
11/29/2022
Last updated
01/27/2026
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