Individual
DR. BRIAN JENS WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5151 E. BROADWAY BOULEVARD, SUITE 720, TUCSON, AZ 85711-3783
(520) 747-0821
(520) 790-5175
Mailing address
PO BOX 12644, TUCSON, AZ 85732-2644
(520) 747-0821
(520) 790-5175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1089
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1089
AZ STATE LICENSE NUMBER
AZ
Enumeration date
12/02/2006
Last updated
07/08/2007
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