Individual
JESSIKA BLAIR WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
144 JIM BOB SCRUGGS RD STE B, HUMBOLDT, TN 38343-6632
(731) 318-4966
Mailing address
1420 OSBORNE STREET, UNIT 45, HUMBOLDT, TN 38343
(731) 318-4966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
9682
TN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/03/2012
Last updated
04/06/2026
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