person
Mr. Kevin Michael Wadalavage, LMHC
Mental Health Counselor in Forest Hills, New York
NPI 1629088117

Kevin Michael Wadalavage is a Mental Health Counselor based in Forest Hills, NY and is specialized in Mental Health. Kevin Michael Wadalavage practices in Forest Hills, NY and has the professional credentials of LMHC. The NPI Number for Kevin Michael Wadalavage is 1629088117 and holds a License No. 2421 (New York).

The current practice location address for Kevin Michael Wadalavage is 184 Burns St, Forest Hills, NY and can be reached out via phone at 718-520-0124.

Location: 184 Burns St, Forest Hills, NY, 11375-6128
person
Provider Profile Details
NPI Number
1629088117
Provider Name
Kevin Michael Wadalavage
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
184 Burns St, Forest Hills, NY, 11375-6128
Phone Number
718-520-0124
Fax Number
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
184 Burns St
City
State
Zip
11375-6128
Phone Number
718-520-0124
Fax Number
person
Provider Business Mailing Address Details
Address
184 Burns St
City
State
Zip
11375-6128
Phone Number
718-520-0124
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2140 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2421 (New York)
Definition
Definition to come...
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