Walker, Laurie Jill
Walker, Laurie Jill is an sole proprietor health care provider with primary practice located at 4815 Aldrich Dr N , Prescott AZ 86305-7416. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Walker, Laurie Jill can be contacted via phone (928) 713-3440.Contact Information
Primary practice address
4815 Aldrich Dr N
Prescott AZ 86305-7416
Phone: (928) 713-3440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC-1659 | Arizona |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-2650 | Arizona |
Profile Details
| NPI number | 1982883021 |
|---|---|
| LBN Legal business name | Walker, Laurie Jill |
| Credentials | M.S.W. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2007 |
| Last updated | Oct 25th, 2007 - about 17 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982883021 | NPPES |
| Arizona | Other | 597289 | AHCCCHS |
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