Provider Demographics
NPI:1487818753
Name:WALKOWE, RENEE GENTILE (MSW, P-LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:GENTILE
Last Name:WALKOWE
Suffix:
Gender:F
Credentials:MSW, P-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 WEST HIGHWAY 54
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-7301
Mailing Address - Country:US
Mailing Address - Phone:919-544-9300
Mailing Address - Fax:919-544-3852
Practice Address - Street 1:1415 W HWY 54
Practice Address - Street 2:SUITE 102
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-7301
Practice Address - Country:US
Practice Address - Phone:919-544-9300
Practice Address - Fax:919-544-3852
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP003799101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health