Provider Information for 1134848807
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
XAVIER WALKER Jr. LMHC
Sex: Male
NPI: 1134848807
Last Updated: 2024-02-22
Certification Date: 2024-02-22
Certification Date: 2024-02-22
Details
Name | Value | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1134848807 | ||||||||||||||
Enumeration Date | 2022-08-25 | ||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||
Sole Proprietor | NO | ||||||||||||||
Status | Active | ||||||||||||||
Mailing Address | 2456 BASELINE RD APT 6 GRAND ISLAND, NY 14072-1642 United States Phone: 718-427-8286 | Fax: | ||||||||||||||
Primary Practice Address | 2456 BASELINE RD APT 6 GRAND ISLAND, NY 14072-1642 United States Phone: 718-427-8286 | Fax: | ||||||||||||||
Secondary Practice Address(es) | |||||||||||||||
Health Information Exchange |
| ||||||||||||||
Other Identifiers |
| ||||||||||||||
Taxonomy |
|