Individual
RESA JEAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
11 2ND ST SW, SUITE 1, WADENA, MN 56482-1417
(218) 631-1714
(218) 631-4228
Mailing address
11 2ND ST SW, SUITE 1, WADENA, MN 56482-1417
(218) 631-1714
(218) 631-4228
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301527
MN
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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