| Jerry Walker Therapy Services | |
|
195 S 36th St Suite 400 Quincy IL 62301-5801 | |
| (217) 228-6194 | |
| (217) 209-0201 |
| Full Name | Jerry Walker Therapy Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 195 S 36th St, Quincy, Illinois |
| Authorized Official Name and Position | Gerald Walker (THERAPIST) |
| Authorized Official Contact | 2172286194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Walker Therapy Services 195 S 36th St Suite 400 Quincy IL 62301-5801 Ph: (217) 228-6194 | Jerry Walker Therapy Services 195 S 36th St Suite 400 Quincy IL 62301-5801 Ph: (217) 228-6194 |
| NPI Number | 1922555325 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 09/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922555325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 178.005375 (Illinois) | Primary |
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