Individual
ALANCE T WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRPA
Contact information
Practice address
175 FULTON AVE, HEMPSTEAD, NY 11550-3718
(516) 486-3222
Mailing address
1071 BROADWAY, WESTBURY, NY 11590-4032
(516) 419-1624
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CRPA-6254
NY
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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