Provider Demographics
NPI:1942539168
Name:WALKER, JANET (MA, NCC, LPC, LISAC)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:MA, NCC, LPC, LISAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 N CRAYCROFT RD.
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712
Mailing Address - Country:US
Mailing Address - Phone:520-272-8808
Mailing Address - Fax:520-647-9048
Practice Address - Street 1:1160 N CRAYCROFT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-4915
Practice Address - Country:US
Practice Address - Phone:520-272-8808
Practice Address - Fax:520-647-9048
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC-1507101YA0400X
AZLPC-13022101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)