Individual
CHRISTINE WALZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1641 ROUTE 112 STE C, MEDFORD, NY 11763-3663
(631) 291-2385
Mailing address
418 BROADWAY # 8454, ALBANY, NY 12207-2922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
012533
NY
Other
Enumeration date
05/13/2024
Last updated
08/31/2025
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