Provider Demographics
NPI:1992011803
Name:WALKER, JANA L (LPC)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:L
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 APPLE VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-9124
Mailing Address - Country:US
Mailing Address - Phone:470-589-8994
Mailing Address - Fax:
Practice Address - Street 1:2315 WEST 39TH BOX 5
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845
Practice Address - Country:US
Practice Address - Phone:308-440-5470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009338101YP2500X
NE983101YA0400X
NE3937101YM0800X
NE1952101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA09338OtherLPC
NE3937OtherSTATE OF NEBRASKA
NE1952OtherSTATE OF NEBRASKA