Provider Demographics
NPI:1659795128
Name:WALKER, LETRISHA MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:LETRISHA
Middle Name:MARIE
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 SAINT MAURICE LN
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-6324
Mailing Address - Country:US
Mailing Address - Phone:318-332-7348
Mailing Address - Fax:318-352-2901
Practice Address - Street 1:905 SAINT MAURICE LN
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-6324
Practice Address - Country:US
Practice Address - Phone:318-332-7348
Practice Address - Fax:318-352-2901
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3111101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health