Provider Demographics
NPI:1891913919
Name:WALKER, JANET N (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:N
Last Name:WALKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 INTERSTATE 10 N
Mailing Address - Street 2:SUITE 140
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1050
Mailing Address - Country:US
Mailing Address - Phone:409-833-2668
Mailing Address - Fax:409-899-9362
Practice Address - Street 1:990 INTERSTATE 10 N
Practice Address - Street 2:SUITE 140
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1050
Practice Address - Country:US
Practice Address - Phone:409-833-2668
Practice Address - Fax:409-899-9362
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14333101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor