Individual
MARK WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11166 FAIRFAX BLVD STE 201, FAIRFAX, VA 22030-5017
(703) 988-4236
(703) 721-7598
Mailing address
11166 FAIRFAX BLVD STE 201, FAIRFAX, VA 22030-5017
(703) 988-4236
(703) 721-7598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704018280
VA
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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