| Jerry Walker Therapy Services Inc. | |
|
4531 Maine St Ste E Quincy IL 62305-5877 | |
| (217) 228-6194 | |
| (217) 228-6194 |
| Full Name | Jerry Walker Therapy Services Inc. |
|---|---|
| Speciality | Counselor |
| Location | 4531 Maine St Ste E, Quincy, Illinois |
| Authorized Official Name and Position | Gerald Walker (COUNSELOR) |
| Authorized Official Contact | 2172286194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Walker Therapy Services Inc. 3620 Harbor Lndg Quincy IL 62305-8626 Ph: (217) 228-6194 | Jerry Walker Therapy Services Inc. 4531 Maine St Ste E Quincy IL 62305-5877 Ph: (217) 228-6194 |
| NPI Number | 1992010797 |
|---|---|
| Provider Enumeration Date | 08/17/2010 |
| Last Update Date | 08/17/2010 |
| Medicare PECOS PAC ID | 3678924750 |
|---|---|
| Medicare Enrollment ID | O20240112003425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992010797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Gerald E Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447395918 PECOS PAC ID: 3971972597 Enrollment ID: I20240112003573 |
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