Provider Demographics
NPI:1326287269
Name:WALKER, BERNICE (MS, LPC CMIII)
Entity Type:Individual
Prefix:MRS
First Name:BERNICE
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:MS, LPC CMIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 PARKVIEW DR STE 2
Mailing Address - Street 2:
Mailing Address - City:EL RENO
Mailing Address - State:OK
Mailing Address - Zip Code:73036-2145
Mailing Address - Country:US
Mailing Address - Phone:405-394-6953
Mailing Address - Fax:580-297-7010
Practice Address - Street 1:2005 PARKVIEW DR STE 2
Practice Address - Street 2:
Practice Address - City:EL RENO
Practice Address - State:OK
Practice Address - Zip Code:73036-2145
Practice Address - Country:US
Practice Address - Phone:405-394-6953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-17
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health