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Individual

WAYNE ALLEN TERPSTRA JR.

Active
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Individual

WAYNE ALLEN TERPSTRA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NCC, LMHC, CASAC,

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
31397
NY
101YM0800X
Mental Health Counselor
Primary
013406
NY

Other

Enumeration date
04/12/2017
Last updated
06/15/2026
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