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Individual

STEPHEN WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MHPP

Contact information

Practice address
1820 CENTRAL AVE STE D, HOT SPRINGS, AR 71901-6898
(501) 663-5473
(501) 801-1816
Mailing address
1820 CENTRAL AVE STE D, HOT SPRINGS, AR 71901-6898
(501) 463-4627
(501) 463-4629

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1608121
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821360264
AR
05
201083795
AR
01
P1608121
ARKANSAS BOARD OF EXAMINERS IN COUNSELING
AR
Enumeration date
02/01/2012
Last updated
09/03/2021
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