Provider Demographics
NPI:1235608662
Name:WALKER, ANNETTE COMMONS
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:COMMONS
Last Name: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 1:1941 COLCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-4676
Mailing Address - Country:US
Mailing Address - Phone:810-294-2555
Mailing Address - Fax:
Practice Address - Street 1:1941 COLCHESTER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-4676
Practice Address - Country:US
Practice Address - Phone:810-294-2555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor