Individual
SHENIQUE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
1520 SUNBOW FALLS LN, 207, RALEIGH, NC 27609-8110
(252) 702-3342
Mailing address
1520 SUNBOW FALLS LN, 207, RALEIGH, NC 27609-8110
(252) 702-3342
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-22272
NC
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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