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NPI Code Detail

MEDICARE: MS. DARCY GAYLE WALKER BA, CADC-II

MEDICARE:  MS. DARCY GAYLE WALKER  BA, CADC-II
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
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) CounselorA018680515CA

General Provider Information

NPI Number : 1407992183
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DARCY GAYLE WALKER BA, CADC-II
Provider Business Mailing Address
First Line : 2060 CAMPUS DR
Second Line :
City : YREKA
State : CA
Zip : 96097-9538
Country : US
Telephone Number : 530-841-4704
Fax Number :
Provider Business Practice Location Address
First Line : 2060 CAMPUS DR
Second Line :
City : YREKA
State : CA
Zip : 96097-9538
Country : US
Telephone Number : 530-841-4704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 10/25/2016

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Directions to “ MS. DARCY GAYLE WALKER BA, CADC-II” Practice Location

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