person
Alissa Blake Walruth, LMHC
School Counselor in Corning, New York
NPI 1629758404

Alissa Blake Walruth is a School Counselor based in Hammondsport, NY and is specialized in School. Alissa Blake Walruth practices in Corning, NY and has the professional credentials of LMHC. The NPI Number for Alissa Blake Walruth is 1629758404 and holds a License No. 013651 (New York).

The current practice location address for Alissa Blake Walruth is 280 Princeton Avenue Ext, Corning, NY and can be reached out via phone at 607-962-3146.

Location: 280 Princeton Avenue Ext, Corning, NY, 14840-8549
person
Provider Profile Details
NPI Number
1629758404
Provider Name
Alissa Blake Walruth
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
280 Princeton Avenue Ext, Corning, NY, 14840-8549
Phone Number
607-962-3146
Fax Number
Provider Enumeration Date
07/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
280 Princeton Avenue Ext
City
State
Zip
14830-1524
Phone Number
607-962-3146
Fax Number
person
Provider Business Mailing Address Details
Address
280 Princeton Avenue Ext
City
State
Zip
14830-1524
Phone Number
607-962-3146
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1578785221 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
013651 (New York)
Definition
Definition to come...
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