Individual
MR. PETER WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCAS
Contact information
Practice address
4112 BLUE RIDGE RD, RALEIGH, NC 27612-4652
(919) 573-6520
(919) 573-6557
Mailing address
4112 BLUE RIDGE RD, RALEIGH, NC 27612-4652
(919) 573-6520
(919) 573-6557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1497
NC
Other
Enumeration date
08/17/2009
Last updated
09/14/2009
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