Provider Demographics
NPI:1710098355
Name:WALKER, CAROLEE (MS LPC)
Entity Type:Individual
Prefix:MS
First Name:CAROLEE
Middle Name:
Last Name:WALKER
Suffix:
Gender:M
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7321 HUNTSMEN CIRCLE
Mailing Address - Street 2:APARTMENT E
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518
Mailing Address - Country:US
Mailing Address - Phone:907-349-5059
Mailing Address - Fax:907-561-1416
Practice Address - Street 1:4020 FOLKER
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-261-5557
Practice Address - Fax:907-561-1416
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK409101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor