Individual
BREANNA M WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4907 HIGHWAY 84 W, VIDALIA, LA 71373-3579
(318) 414-3065
(318) 414-3067
Mailing address
PO BOX 73, NATCHEZ, MS 39121-0073
(702) 308-7682
(318) 414-3067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
01/26/2016
Last updated
07/23/2021
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