MEDICARE: TIMOTHY WALKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1235926049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY WALKER

Provider Business Mailing Address
First Line	:	12301 33RD AVE NE APT 202
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-5654
Country	:	US
Telephone Number	:	206-450-8232
Fax Number	:

Provider Business Practice Location Address
First Line	:	3802 S OTHELLO ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-3562
Country	:	US
Telephone Number	:	206-450-8232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2025
Last Update Date	:	04/23/2025

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Directions to “ TIMOTHY WALKER ” Practice Location

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