Provider Demographics
NPI:1790284511
Name:WALKER, ANN (LMHC, ATR)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:LMHC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 S CRESTLINE ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-3564
Mailing Address - Country:US
Mailing Address - Phone:509-220-0787
Mailing Address - Fax:
Practice Address - Street 1:1311 S CRESTLINE ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-3564
Practice Address - Country:US
Practice Address - Phone:509-220-0787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60756645101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health