Individual
MS. DELESIA S WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(769) 251-5550
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(769) 251-5550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2764
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018209
—
MS
Enumeration date
09/23/2013
Last updated
01/15/2021
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