Individual
MR. ANDREW KENNETH WAKSCHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
153 NEW DORP LN, STATEN ISLAND, NY 10306-3050
(929) 334-3521
Mailing address
153 NEW DORP LN, STATEN ISLAND, NY 10306-3050
(929) 334-3521
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
015235
NY
Other
Enumeration date
09/12/2022
Last updated
11/07/2024
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