Individual
MR. AL WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS COUSELING
Contact information
Practice address
103 D STREET, MARYSVILLE, CA 95901
(916) 473-5764
(916) 473-5766
Mailing address
103 D STREET, MARYSVILLE, CA 95901
(916) 473-5764
(916) 473-5766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
12/21/2010
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