Individual
JESSICA ROSE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2716 SAN PEDRO DR NE, STE D, ALBUQUERQUE, NM 87110-3326
(505) 977-3770
Mailing address
348 PEQUIN TRL SE, ALBUQUERQUE, NM 87123-2174
(505) 977-3770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0171421
NM
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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