Provider Demographics
NPI:1053651133
Name:WALKLEY, MEAGAN PLECKER (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:PLECKER
Last Name:WALKLEY
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 AUTUMN E
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-1634
Mailing Address - Country:US
Mailing Address - Phone:540-969-8425
Mailing Address - Fax:
Practice Address - Street 1:4451 LONGHILL RD STE 136
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-1534
Practice Address - Country:US
Practice Address - Phone:757-525-1542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005413101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional