Individual
GENE AUTRY WALKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
401 MARKET ST, STEUBENVILLE, OH 43952-2881
(740) 314-5339
(740) 314-5527
Mailing address
56 CHRISTOPHER AVE APT B, STEUBENVILLE, OH 43953-7366
(724) 480-8290
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.162840
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210495
—
OH
Enumeration date
06/11/2018
Last updated
06/11/2018
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