MEDICARE: MR. PETER WALKER MA, LCAS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	1497	NC

General Provider Information

NPI Number	:	1942432513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PETER WALKER MA, LCAS

Provider Business Mailing Address
First Line	:	4112 BLUE RIDGE RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-4652
Country	:	US
Telephone Number	:	919-573-6520
Fax Number	:	919-573-6557

Provider Business Practice Location Address
First Line	:	4112 BLUE RIDGE RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-4652
Country	:	US
Telephone Number	:	919-573-6520
Fax Number	:	919-573-6557

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

Provider Enumeration Date	:	08/17/2009
Last Update Date	:	09/14/2009

Similar Medicare Providers

1760460687 — DR. MATTHEW A MEIER PSYD, HSP-P, LCAS
Practice Location Address:

4112 BLUE RIDGE RD , SUITE 200
RALEIGH, NC
27612-4652

Practice Phone: 919-573-6520
Practice Fax: 919-573-6554

1871762641 — MR. KENNETH LOUIS SHORE LCSW
Practice Location Address:

4112 BLUE RIDGE ROAD , 2ND FLOOR
RALEIGH, NC
27612-4652

Practice Phone: 919-573-6520
Practice Fax: 919-573-6557

1619146305 — MS. DIANA WYDO LCSW
Practice Location Address:

4112 BLUE RIDGE ROAD , 2ND FLOOR
RALEIGH, NC
27612-4652

Practice Phone: 919-573-6520
Practice Fax: 919-573-6557

1295624898 — PERPETUAL HOME CARE, LLC
Practice Location Address:

4112 BLUE RIDGE RD STE 206
RALEIGH, NC
27612-4652

Practice Phone: 919-861-5245
Practice Fax: 919-882-8662

1538052410 — RALEIGH OT LLC
Practice Location Address:

4912 SWEET SHADE TRL
RALEIGH, NC
27616-4652

Practice Phone: 801-739-3787
Practice Fax:

1780551622 — DR. JESSICA P WELLS DNP, FNP-BC
Practice Location Address:

3100 DURALEIGH RD STE 200
RALEIGH, NC
27612-8104

Practice Phone: 984-215-4570
Practice Fax:

Directions to “ MR. PETER WALKER MA, LCAS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.