Individual
TAMNIKA NICOLE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6115 CAMP BOWIE BLVD STE 220, FORT WORTH, TX 76116-5543
(682) 268-1510
Mailing address
2305 WIMBLEDON DR, ARLINGTON, TX 76017-3725
(817) 917-2188
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
TX
104100000X
Social Worker
Primary
106366
TX
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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