Individual
MS. JANICE MAE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1510 ROBERT ST, SUITE 101, BOISE, ID 83705
(208) 344-0844
(208) 344-0592
Mailing address
2065 WALTMAN ST, MERIDIAN, ID 83642-6124
(208) 288-0040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
214
ID
Other
Enumeration date
03/31/2007
Last updated
07/09/2007
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