Provider Demographics
NPI:1801939095
Name:WALKER, WARREN PAUL (MEDLPC, LCDC, LBSW)
Entity type:Individual
Prefix:MR
First Name:WARREN
Middle Name:PAUL
Last Name:WALKER
Suffix:
Gender:M
Credentials:MEDLPC, LCDC, LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3109 OLTON RD STE 103E
Mailing Address - Street 2:WINCHESTER PLAZA 5086
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79072-6763
Mailing Address - Country:US
Mailing Address - Phone:806-293-4066
Mailing Address - Fax:806-296-6302
Practice Address - Street 1:3109 OLTON RD STE 103E
Practice Address - Street 2:WINCHESTER PLAZA 5086
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-6763
Practice Address - Country:US
Practice Address - Phone:806-293-4066
Practice Address - Fax:806-296-6302
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16581101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional