Individual
MR. BRIAN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
915 PARKCENTRE WAY, NAMPA, ID 83651-1745
(208) 442-7791
(208) 442-7792
Mailing address
6394 E CANYON CROSSING DR, NAMPA, ID 83687-5541
(208) 501-6813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-6183
ID
101YM0800X
Mental Health Counselor
LPC-5412
ID
Other
Enumeration date
11/14/2013
Last updated
08/10/2022
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