Provider Demographics
NPI:1336800085
Name:WALKER, MARQUESE (LPC)
Entity Type:Individual
Prefix:
First Name:MARQUESE
Middle Name:
Last Name:WALKER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12712 W LAKE HOUSTON PKWY STE B-4026
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-6467
Mailing Address - Country:US
Mailing Address - Phone:281-816-9641
Mailing Address - Fax:
Practice Address - Street 1:9503 LAKEWAY VIEW LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-3377
Practice Address - Country:US
Practice Address - Phone:281-238-5908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77771101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional