person
Antonio Delano Walcott JR., MHC-LP
Mental Health Counselor in Riverhead, New York
NPI 1245695717

Antonio Delano Walcott JR. is a Mental Health Counselor based in Mastic, NY and is specialized in Mental Health. Antonio Delano Walcott JR. practices in Riverhead, NY and has the professional credentials of MHC-LP. The NPI Number for Antonio Delano Walcott JR. is 1245695717 and holds a License No. (New York).

The current practice location address for Antonio Delano Walcott JR. is 208 Roanoke Ave, Riverhead, NY and can be reached out via phone at 631-369-0104.

Location: 208 Roanoke Ave, Riverhead, NY, 11950-2220
person
Provider Profile Details
NPI Number
1245695717
Provider Name
Antonio Delano Walcott JR.
Credential
MHC-LP
Provider Entity Type
Individual
Gender
Male
Address
208 Roanoke Ave, Riverhead, NY, 11950-2220
Phone Number
631-369-0104
Fax Number
Provider Enumeration Date
12/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
208 Roanoke Ave
City
State
Zip
11901-2706
Phone Number
631-369-0104
Fax Number
person
Provider Business Mailing Address Details
Address
208 Roanoke Ave
City
State
Zip
11901-2706
Phone Number
631-369-0104
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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