Provider Demographics
NPI:1679748560
Name:WALKER, ALAN MARK (LMFT)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:MARK
Last Name:WALKER
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 919
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78627
Mailing Address - Country:US
Mailing Address - Phone:512-818-3470
Mailing Address - Fax:
Practice Address - Street 1:1504 LEANDER ROAD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-8801
Practice Address - Country:US
Practice Address - Phone:512-864-0977
Practice Address - Fax:512-864-0930
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5065101Y00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor