Provider Demographics
NPI:1245494244
Name:WALKER, CHRISTEL RAQUEL (LPC)
Entity type:Individual
Prefix:MS
First Name:CHRISTEL
Middle Name:RAQUEL
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2640 BENJAMIN E MAYS DR SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30311-2441
Mailing Address - Country:US
Mailing Address - Phone:404-964-1392
Mailing Address - Fax:
Practice Address - Street 1:2640 BENJAMIN E MAYS DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-2441
Practice Address - Country:US
Practice Address - Phone:404-964-1392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006557101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional