Individual
CHANTA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3315 LAKEVIEW ST, CINCINNATI, OH 45211-6415
(513) 580-3877
Mailing address
3315 LAKEVIEW ST, CINCINNATI, OH 45211-6415
(513) 678-2967
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.194064
OH
101YM0800X
Mental Health Counselor
—
—
163WC0400X
Case Management Registered Nurse
Primary
RN.386393
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SK200694
—
OH
Enumeration date
05/21/2022
Last updated
11/06/2025
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