Individual
JERRY W WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1230 N DUQUESNE RD, JOPLIN, MO 64801-1509
(417) 782-1443
(417) 782-3240
Mailing address
1230 N DUQUESNE RD, JOPLIN, MO 64801-1509
(417) 782-1443
(417) 782-3240
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2000167859
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200491030A
—
OK
05
—
200671770A
—
KS
05
—
494803802
—
MO
Enumeration date
11/03/2005
Last updated
09/10/2023
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