Individual
JENNIFER R WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
902 MARKET ST, MEADVILLE, PA 16335-3319
(814) 219-3800
(814) 219-3805
Mailing address
902 MARKET ST, MEADVILLE, PA 16335-3319
(814) 219-3800
(814) 219-3805
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC004402
PA
101YM0800X
Mental Health Counselor
PC004402
PA
101YP2500X
Professional Counselor
Primary
PC004402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037103060002
—
PA
Enumeration date
04/03/2007
Last updated
11/01/2024
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