Individual
NICHOLAS WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 SISKIYOU BLVD STE 8, ASHLAND, OR 97520-2151
(541) 276-2373
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
C7706
OK
Other
Enumeration date
06/20/2016
Last updated
02/12/2024
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