Provider Demographics
NPI:1023421922
Name:WALKER, AMBER C (LPC, CAADC, LLMFT)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:C
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPC, CAADC, LLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6963 W KL AVE STE A
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-8043
Mailing Address - Country:US
Mailing Address - Phone:269-459-9790
Mailing Address - Fax:269-459-9791
Practice Address - Street 1:6963 W KL AVE STE A
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-8043
Practice Address - Country:US
Practice Address - Phone:269-459-9790
Practice Address - Fax:269-459-9791
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014127101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional