MEDICARE: MRS. DOROTHY WALTON WALKER LPC, NCC, CBT

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	2846	NC

General Provider Information

NPI Number	:	1811293426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DOROTHY WALTON WALKER LPC, NCC, CBT

Provider Business Mailing Address
First Line	:	500 W NORTHWEST BLVD STE 106
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27105-6526
Country	:	US
Telephone Number	:	336-631-5436
Fax Number	:	336-217-8228

Provider Business Practice Location Address
First Line	:	500 W NORTHWEST BLVD STE 106
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27105-6526
Country	:	US
Telephone Number	:	336-631-5436
Fax Number	:

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

Provider Enumeration Date	:	01/28/2011
Last Update Date	:	02/22/2026

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