Individual
MR. GRANT PAUL WALKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.A.S., CADC
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(154) 182-6211
(154) 183-0350
Mailing address
PO BOX 2242, GRANTS PASS, OR 97528-0280
(154) 186-2701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
960467
OR
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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