Individual
JENNIFER E WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
105 CENTRAL AVE STE 200-B, GOOSE CREEK, SC 29445-3084
(843) 619-7892
Mailing address
431 SAINT JAMES AVE STE L-167, GOOSE CREEK, SC 29445-2768
(843) 619-7892
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
SC-7199
SC
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
01/31/2013
Last updated
08/30/2024
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