Individual
CAROLYN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, LPC, RN-BC
Contact information
Practice address
8805 W 14TH AVE STE 200, LAKEWOOD, CO 80215-4848
(855) 908-0071
Mailing address
4746 RAVEN RUN, BROOMFIELD, CO 80023-4636
(816) 679-5008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2016030203
MO
101Y00000X
Counselor
LPC.0013389
CO
163W00000X
Registered Nurse
Primary
RN.1619084
CO
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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