Individual
JUANITA LYNN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PLPC
Contact information
Practice address
1418 TIGER DR, THIBODAUX, LA 70301-4337
(985) 449-4055
(985) 449-4178
Mailing address
906 JEFFERSON ST, THIBODAUX, LA 70301-2234
(985) 413-4980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7401
LA
Other
Enumeration date
02/26/2018
Last updated
12/12/2022
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