Provider Demographics
NPI:1477748374
Name:WALKER, WANTING (LPC)
Entity type:Individual
Prefix:MS
First Name:WANTING
Middle Name:
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 1:2963 N LAWNDALE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-7320
Mailing Address - Country:US
Mailing Address - Phone:312-285-0534
Mailing Address - Fax:316-267-3843
Practice Address - Street 1:2963 N LAWNDALE AVE STE 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-7320
Practice Address - Country:US
Practice Address - Phone:312-285-0534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1892101YP2500X
KSA0100482261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional