Jay Walker
Jay Walker is a Counselor in Ponchatoula, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
41459 S Range Rd Apt 114Ponchatoula, LA 70454-3083
Phone: (985) 602-7484
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1093229031 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 29, 2017 |
| Last updated in NPPES | March 20, 2020 |
| Certification date | March 20, 2020 |
| Mailing address | 41459 S Range Rd Apt 114, Ponchatoula, LA 70454-3083 |
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