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NPI Code Detail

MEDICARE: MS. SHAKONDA SHERIEE WALKER

MEDICARE:  MS. SHAKONDA SHERIEE 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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558601005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHAKONDA SHERIEE WALKER
Provider Business Mailing Address
First Line : 3631 RUSSIAN OLIVE ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-7647
Country : US
Telephone Number : 702-581-4309
Fax Number :
Provider Business Practice Location Address
First Line : 1333 N BUFFALO DR
Second Line : SUITE 250
City : LAS VEGAS
State : NV
Zip : 89128-3636
Country : US
Telephone Number : 702-354-0017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2013
Last Update Date : 02/20/2013

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Directions to “ MS. SHAKONDA SHERIEE WALKER ” Practice Location

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