Provider Demographics
NPI:1124590096
Name:SLOVEK-WALKER, DARCELL ANN
Entity Type:Individual
Prefix:
First Name:DARCELL
Middle Name:ANN
Last Name:SLOVEK-WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2970 SW AVALON WAY
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-2551
Mailing Address - Country:US
Mailing Address - Phone:206-883-2051
Mailing Address - Fax:
Practice Address - Street 1:2970 SW AVALON WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-2551
Practice Address - Country:US
Practice Address - Phone:206-883-2051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006221101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health