Individual
JEFF WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1660 NAVE RD SE, MASSILLON, OH 44646-9604
(330) 837-1883
(330) 837-4603
Mailing address
1341 MARKET AVE N, CANTON, OH 44714-2605
(330) 452-8252
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2901131
—
OH
Enumeration date
01/22/2014
Last updated
01/22/2014
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