Provider Demographics
NPI:1053208066
Name:WALKER, GREGORY (CADC MSW)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:WALKER
Suffix:
Gender:M
Credentials:CADC MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 625
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28642-0625
Mailing Address - Country:US
Mailing Address - Phone:818-767-0811
Mailing Address - Fax:888-870-0545
Practice Address - Street 1:501 CEDARBROOK RD
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28642-2413
Practice Address - Country:US
Practice Address - Phone:336-530-0577
Practice Address - Fax:888-870-0545
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)