Individual
CHANELLE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDRC
Contact information
Practice address
107 JACKSON ST, HAYWARD, CA 94544-1948
(510) 886-8696
Mailing address
107 JACKSON ST, HAYWARD, CA 94544-1948
(510) 886-8696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16185
CA
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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