MEDICARE: MRS. MARY JANE WALKER M.S., LPC, NCC

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	62398	TX

General Provider Information

NPI Number	:	1912185208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY JANE WALKER M.S., LPC, NCC

Provider Business Mailing Address
First Line	:	201 1/2 E VIRGINIA ST STE 1
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-4337
Country	:	US
Telephone Number	:	972-984-9207
Fax Number	:	972-347-3737

Provider Business Practice Location Address
First Line	:	201 1/2 E VIRGINIA ST STE 1
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-4337
Country	:	US
Telephone Number	:	972-984-9207
Fax Number	:	972-347-3737

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

Provider Enumeration Date	:	02/08/2008
Last Update Date	:	02/08/2008

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