MEDICARE: XANDULA GAITOR-WALKER L.P.C

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	C.1300569	OH

General Provider Information

NPI Number	:	1760854384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XANDULA GAITOR-WALKER L.P.C

Provider Business Mailing Address
First Line	:	5661 FOREST GROVE AVE
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-7815
Country	:	US
Telephone Number	:	614-316-0679
Fax Number	:

Provider Business Practice Location Address
First Line	:	5661 FOREST GROVE AVE
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-7815
Country	:	US
Telephone Number	:	614-316-0679
Fax Number	:

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

Provider Enumeration Date	:	10/22/2015
Last Update Date	:	05/08/2024

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Directions to “ XANDULA GAITOR-WALKER L.P.C” Practice Location

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