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Lori Walden
Mental Health Counselor in Shirley, New York
NPI 1669910048

Lori Walden is a Mental Health Counselor based in Shirley, NY and is specialized in Mental Health. Lori Walden practices in Shirley, NY. The NPI Number for Lori Walden is 1669910048 and holds a License No. (New York).

The current practice location address for Lori Walden is 42 Schenk Dr, Shirley, NY and can be reached out via phone at 631-680-5075.

Location: 42 Schenk Dr, Shirley, NY, 11967-2632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669910048
Provider Name
Lori Walden
Credential
Provider Entity Type
Individual
Gender
Female
Address
42 Schenk Dr, Shirley, NY, 11967-2632
Phone Number
631-680-5075
Fax Number
Provider Enumeration Date
02/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
311777031 01 NY TEACHER ASSISTANT
institution
Provider Business Practice Location Address Details
Address
42 Schenk Dr
City
Shirley
State
New York
Zip
11967-2632
Phone Number
631-680-5075
Fax Number
person
Provider Business Mailing Address Details
Address
42 Schenk Dr
City
Shirley
State
New York
Zip
11967-2632
Phone Number
631-680-5075
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(New York)
Definition
Definition to come...
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