Individual
THADIOUS WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
8550 HUDSON BLVD N, LAKE ELMO, MN 55042-5500
(651) 254-8580
Mailing address
5750 SANDER DR APT 3, MINNEAPOLIS, MN 55417-2841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
307575
MN
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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