Walker, Jan Maedgen

Walker, Jan Maedgen is an individual health care provider with primary practice located at 2010 Sybil Ln , Tyler TX 75703-1818. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Walker, Jan Maedgen can be contacted via phone (903) 596-8118.

Contact Information

Primary practice address
2010 Sybil Ln Tyler TX 75703-1818
Fax: (903) 596-8125
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 12783 Texas

Profile Details

NPI number 1487662664
LBN Legal business name Walker, Jan Maedgen
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487662664 NPPES
Texas MEDICAID 152550301

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