JERRY WALKER THERAPY SERVICES NPI 1922555325

NPI Information

NPI: 1922555325
Provider Name: JERRY WALKER THERAPY SERVICES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
195 S 36TH ST
SUITE 400
QUINCY, IL
ZIP 62301
Phone: (217) 228-6194
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JERRY WALKER THERAPY SERVICES is a mental health counselor in Quincy, IL. JERRY WALKER THERAPY SERVICES NPI is 1922555325. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

195 S 36TH ST
SUITE 400
QUINCY, IL
ZIP 62301-801
Phone: (217) 228-6194
Fax: (217) 209-0201

The provider's authorized official is Gerald Walker .
The authorized official title is Therapist and has the following contact phone number (217) 228-6194.

The enumeration date for this NPI number is 9/2/2016 and was last updated on 9/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	178.005375	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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