Jordan Walker
Counselor, Mental Health in Chicago, IL. Individual provider (NPI-1).
NPI number1104577832
StatusActive
Last updated in NPPESJan 13, 2022
Details
- NPI
- 1104577832
- Entity type
- Individual (NPI-1)
- Name
- Jordan Walker
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2022
- Certification date
- Jan 13, 2022
- Last updated
- Jan 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
151 N Michigan Ave Ste 201Chicago, IL 60601-7506
Phone 312-488-4024
Mailing address
1400 N Lake Shore Dr Apt 10tChicago, IL 60610-1602
Phone 517-896-8476
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