Walker Jean-Philippe
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Holloman Afb, NM
NPI 1700384252 · NPPES record last updated Jan 30, 2018
Key facts
- NPI
- 1700384252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 2480 Mora Loop Apt B
Holloman Afb, NM 88330-8566 - Phone
- (305) 619-1475
- NPI assigned
- Jan 30, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
2480 Mora Loop Apt B
Holloman Afb, NM 88330-8566
Mailing address
280 1St St BLDG 23
Holloman Afb, NM 88330-8273
Other providers in Holloman Afb, NM
- Adam Hoye-Simek
- Lauren Hudson
- Maxilea Isom
- Kacie Jackson
- Tina Jackson
- Kimberly Dawn Jensen
- Merlin Jewell
- Levi Johnson
- Niki Renee Johnson
- Noah Johnson
All providers in Holloman Afb, NM · Addiction (Substance Use Disorder) Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.