Provider Demographics
NPI:1306014766
Name:WALKER, GUY JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:GUY
Middle Name:
Last Name:WALKER
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 PELHAM RD S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36265-2732
Mailing Address - Country:US
Mailing Address - Phone:256-435-5502
Mailing Address - Fax:256-435-5797
Practice Address - Street 1:614 PELHAM RD S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:AL
Practice Address - Zip Code:36265-2732
Practice Address - Country:US
Practice Address - Phone:256-435-5502
Practice Address - Fax:256-435-5797
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL966101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL42995OtherBLUE CROSS/BLUE SHIELD