Individual
JESSICA MARIE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RASAC 1
Contact information
Practice address
500 HWY J, HAYTI, MO 63851
(573) 359-2600
(573) 359-1103
Mailing address
P.O. BOX 441, HAYTI, MO 63851
(573) 359-2600
(573) 359-1103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7786
MO
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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