Individual
MRS. JENNIFER WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1204 7TH ST S STE 105, SAINT CLOUD, MN 56301-4285
(320) 257-6020
Mailing address
1204 7TH ST S STE 105, SAINT CLOUD, MN 56301-4285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303547
MN
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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