Individual
BRUCE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 ANDREW JACKSON DRIVE, WAYNESBORO, TN 38485-3848
(931) 253-2140
Mailing address
950 ANDREW JACKSON DRIVE, WAYNESBORO, TN 38485
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1369
TN
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01369
LADAC II
TN
Enumeration date
09/19/2019
Last updated
01/17/2025
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