Individual
MR. KEITH WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.I.T.
Contact information
Practice address
UNIT 6 MEADOW LANE, PINEVILLE, LA 71360
(318) 484-6889
(318) 487-5703
Mailing address
1717 TULLAMORE ST, ALEXANDRIA, LA 71303-5257
(318) 449-4538
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1769
LA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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