Individual
BEVERLY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
17515 ROCKAWAY BLVD, JAMAICA, NY 11434-5503
(718) 632-3275
(718) 632-1568
Mailing address
4442 ARTHUR KILL RD, SUITE 4, STATEN ISLAND, NY 10309-1340
(718) 356-5100
(718) 356-3155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26612
NY
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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