Individual
MRS. SANDRA LYNNE WALKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1650 HWY 18 SOUTH, SPARTA, NC 28675-9198
(336) 372-4095
(828) 262-5687
Mailing address
PO BOX 159, 1650 HWY 18 SOUTH, SPARTA, NC 28675-0159
(336) 372-4095
(828) 262-5687
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4386
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135PV
BCBS OF NC
NC
01
—
2220029
CIGNA BEHAVIORAL HEALTH
NC
05
—
6102767
—
NC
01
—
D0753
MEDCOST
NC
01
—
N/A
CBHA
NC
Enumeration date
03/07/2006
Last updated
07/09/2007
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