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NPI Code Detail

MEDICARE: MR. MICHAEL WALKER

MEDICARE:  MR. MICHAEL  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
1101YP2500XProfessional Counselor21610CA
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1821801739
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL WALKER
Provider Business Mailing Address
First Line : 691 ZANJA ST
Second Line :
City : PASADENA
State : CA
Zip : 91103-2462
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 691 ZANJA ST
Second Line :
City : PASADENA
State : CA
Zip : 91103-2462
Country : US
Telephone Number : 626-664-4302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2025
Last Update Date : 06/15/2026

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Directions to “ MR. MICHAEL WALKER ” Practice Location

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