Provider Demographics
NPI:1609142561
Name:WALKER, JENNIFER RODRIGUEZ (LMFT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:RODRIGUEZ
Last Name:WALKER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LOWELL RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06119-1817
Mailing Address - Country:US
Mailing Address - Phone:714-794-2734
Mailing Address - Fax:855-597-6540
Practice Address - Street 1:8 LOWELL RD
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06119-1817
Practice Address - Country:US
Practice Address - Phone:714-794-2734
Practice Address - Fax:855-597-6540
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist