Individual
MR. CALVIN DETRICK WALKER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCA
Contact information
Practice address
119 WEST AVE, KANNAPOLIS, NC 28081-4332
(704) 630-6634
Mailing address
1517 CRANDON DR, CHARLOTTE, NC 28216-2790
(704) 533-5312
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A11880
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
A11880
NC
101YM0800X
Mental Health Counselor
Primary
A11880
NC
101YP2500X
Professional Counselor
A11880
NC
103K00000X
Behavior Analyst
A11880
NC
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
01/26/2016
Last updated
04/20/2016
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