Jay Walker
Case Manager/Care Coordinator in Ponchatoula, LA. Individual provider (NPI-1).
NPI number1093229031
StatusActive
Last updated in NPPESMar 20, 2020
Details
- NPI
- 1093229031
- Entity type
- Individual (NPI-1)
- Name
- Jay Walker
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 29, 2017
- Certification date
- Mar 20, 2020
- Last updated
- Mar 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
41459 S Range Rd Apt 114Ponchatoula, LA 70454-3083
Phone 985-602-7484
Mailing address
41459 S Range Rd Apt 114Ponchatoula, LA 70454-3083
Phone 985-602-7484
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All 12 Case Manager/Care Coordinator providers in Ponchatoula · All 299 providers in Ponchatoula
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