Provider Demographics
NPI:1821581851
Name:WALKER, NOLAN (LPCC, NCC)
Entity Type:Individual
Prefix:MR
First Name:NOLAN
Middle Name:
Last Name:WALKER
Suffix:
Gender:M
Credentials:LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20635 BELINDA DR
Mailing Address - Street 2:
Mailing Address - City:CALHAN
Mailing Address - State:CO
Mailing Address - Zip Code:80808-9133
Mailing Address - Country:US
Mailing Address - Phone:719-761-8150
Mailing Address - Fax:
Practice Address - Street 1:20635 BELINDA DR
Practice Address - Street 2:
Practice Address - City:CALHAN
Practice Address - State:CO
Practice Address - Zip Code:80808-9133
Practice Address - Country:US
Practice Address - Phone:719-761-8150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0015683101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor