Individual
JANA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4736 AVENUE B, JACKSONVILLE, FL 32209-3023
(903) 660-2157
Mailing address
1131 AKE LN, JACKSONVILLE, FL 32218-8102
(904) 778-5077
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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