Individual
DYMOND WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 ROSEMAR ST, PHILADELPHIA, PA 19120-1922
(267) 437-9131
Mailing address
107 ROSEMAR ST, PHILADELPHIA, PA 19120-1922
(267) 437-9131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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