Provider Demographics
NPI:1003568189
Name:WALKER, SONJA LYNN KAREEM (LMFT)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:LYNN KAREEM
Last Name:WALKER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4930 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:MN
Mailing Address - Zip Code:55088-2024
Mailing Address - Country:US
Mailing Address - Phone:612-800-2811
Mailing Address - Fax:
Practice Address - Street 1:4930 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:MN
Practice Address - Zip Code:55088-2024
Practice Address - Country:US
Practice Address - Phone:612-800-2811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3844106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist