person
Phoenix Lyn Black Walker, LADC
Addiction (Substance Use Disorder) Counselor in Duluth, Minnesota
NPI 1245755107

Phoenix Lyn Black Walker is an Addiction (Substance Use Disorder) Counselor based in Duluth, MN and is specialized in Addiction (Substance Use Disorder). Phoenix Lyn Black Walker practices in Duluth, MN and has the professional credentials of LADC. The NPI Number for Phoenix Lyn Black Walker is 1245755107 and holds a License No. 300519 (Minnesota).

The current practice location address for Phoenix Lyn Black Walker is 1401 E 1St St, Duluth, MN and can be reached out via phone at 218-728-4491 and via fax at 218-730-2367.

Location: 1401 E 1St St, Duluth, MN, 55805-2407
person
Provider Profile Details
NPI Number
1245755107
Provider Name
Phoenix Lyn Black Walker
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
1401 E 1St St, Duluth, MN, 55805-2407
Phone Number
218-728-4491
Fax Number
218-730-2367
Provider Enumeration Date
08/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1401 E 1St St
City
State
Zip
55805-2407
Phone Number
218-728-4491
Fax Number
218-730-2367
person
Provider Business Mailing Address Details
Address
1401 E 1St St
City
State
Zip
55805-2407
Phone Number
218-728-4491
Fax Number
218-730-2367
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
300519 (Minnesota)
Definition
Definition to come...
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