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Robert Wade Walker

Counselor, Addiction (Substance Use Disorder) in Homer, AK. Individual provider (NPI-1).

NPI number1356969166
StatusActive
Last updated in NPPESJul 8, 2020

Details

NPI
1356969166
Entity type
Individual (NPI-1)
Name
Robert Wade Walker
Sex
Male
Sole proprietor
No
Enumeration date
Jul 8, 2020
Certification date
Jul 8, 2020
Last updated
Jul 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

51310 Timber Bay Court
Homer, AK 99603

Phone 907-982-6662

Mailing address

Po Box 3522
Homer, AK 99603-3522

Phone 907-982-6662

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