MEDICARE: ANGELA WALKER LPC

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	101Y00000X	Counselor	2026012659	MO

General Provider Information

NPI Number	:	1447194261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA WALKER LPC

Provider Business Mailing Address
First Line	:	3858 MARCIA DR
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63304-7054
Country	:	US
Telephone Number	:	314-568-4390
Fax Number	:

Provider Business Practice Location Address
First Line	:	11166 TESSON FERRY RD STE 308
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63123-6966
Country	:	US
Telephone Number	:	314-568-4390
Fax Number	:

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

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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