Individual
BRENDA MARIE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC, CCS, CADC
Contact information
Practice address
5207 HALIFAX DR, LITTLE ROCK, AR 72209-2840
(501) 703-3939
Mailing address
5207 HALIFAX DR, LITTLE ROCK, AR 72209-2840
(501) 703-3939
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
397L
AR
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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