MEDICARE: MS. JAMIA RACHELLE WALKER LCPC

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	101YP2500X	Professional Counselor	180.011561	IL

General Provider Information

NPI Number	:	1538791645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JAMIA RACHELLE WALKER LCPC

Provider Business Mailing Address
First Line	:	22407 LAWNDALE AVE
Second Line	:
City	:	RICHTON PARK
State	:	IL
Zip	:	60471-2044
Country	:	US
Telephone Number	:	773-634-0958
Fax Number	:

Provider Business Practice Location Address
First Line	:	19831 GOVERNORS HWY
Second Line	:
City	:	FLOSSMOOR
State	:	IL
Zip	:	60422-2001
Country	:	US
Telephone Number	:	708-960-0907
Fax Number	:

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

Provider Enumeration Date	:	02/06/2020
Last Update Date	:	03/19/2025

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