Walker, Jennifer E

Walker, Jennifer E is an individual health care provider with primary practice located at 105 Central Ave Ste 200-B , Goose Creek SC 29445-3084. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Walker, Jennifer E can be contacted via phone (843) 619-7892.

Contact Information

Primary practice address
105 Central Ave Ste 200-B Goose Creek SC 29445-3084
Phone: (843) 619-7892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SC-7199 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1760720486
LBN Legal business name Walker, Jennifer E
Credentials MHP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2013
Last updated Jan 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760720486 NPPES
South Carolina MEDICAID 1760596480

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