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Individual
LOUIS WALTHALL
Active
Individual
LOUIS WALTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWR, CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
73 051661
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
9438
NY
101YM0800X
Mental Health Counselor
73 051661
NY
1041C0700X
Clinical Social Worker
Primary
051661
NY
Other
Enumeration date
03/17/2009
Last updated
02/22/2018
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