Healthcare Provider Details

I. General information

NPI: 1407992183
Provider Name (Legal Business Name): DARCY GAYLE WALKER BA, CADC-II
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 10/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2060 CAMPUS DR
YREKA CA
96097-9538
US

IV. Provider business mailing address

2060 CAMPUS DR
YREKA CA
96097-9538
US

V. Phone/Fax

Practice location:
  • Phone: 530-841-4704
  • Fax:
Mailing address:
  • Phone: 530-841-4704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberA018680515
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: