Individual
EBONY GLYNN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
350 POPLAR DR, PETERSBURG, VA 23805-9367
(804) 733-6874
Mailing address
9482 W BRIGHTWAY CIR, HENRICO, VA 23294-5564
(804) 937-5254
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009893
VA
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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