Healthcare Provider Details

I. General information

NPI: 1194260125
Provider Name (Legal Business Name): HILLARY WALKER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2016
Last Update Date: 07/29/2024
Certification Date: 04/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2804 W NORTHERN LIGHTS BLVD
ANCHORAGE AK
99517-3300
US

IV. Provider business mailing address

2804 W NORTHERN LIGHTS BLVD
ANCHORAGE AK
99517-3300
US

V. Phone/Fax

Practice location:
  • Phone: 907-240-6456
  • Fax:
Mailing address:
  • Phone: 907-240-6456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number142713
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: