Individual
ATHENA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 ETHAN WAY, 101, SACRAMENTO, CA 95825
(916) 922-9217
Mailing address
1440 ETHAN WAY, SACRAMENTO, CA 95825-2225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1248230417
CA
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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