Individual
LETECIA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9441 COMMON ST STE B, BATON ROUGE, LA 70809
(225) 923-3733
Mailing address
PO BOX 266, BRUSLY, LA 70719-0266
(225) 475-1522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600964601
—
LA
Enumeration date
05/19/2016
Last updated
02/08/2023
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