Provider Demographics
NPI:1043375942
Name:WALKER, EARL EUGENE (ADDICTION COUNSELOR)
Entity Type:Individual
Prefix:MR
First Name:EARL
Middle Name:EUGENE
Last Name:WALKER
Suffix:
Gender:M
Credentials:ADDICTION COUNSELOR
Other - Prefix:MR
Other - First Name:EARL
Other - Middle Name:EUGENE
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ADDICTION COUNSELOR
Mailing Address - Street 1:8910 GLADESIDE DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4616
Mailing Address - Country:US
Mailing Address - Phone:301-877-4186
Mailing Address - Fax:
Practice Address - Street 1:1012 14TH ST NW
Practice Address - Street 2:807
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3403
Practice Address - Country:US
Practice Address - Phone:202-737-2554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCADD20101YA0400X
MDAC0006101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)