Individual
MR. WALTER VAN SAMBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DIPL. PSYCH.
Contact information
Practice address
244 S MAIN ST, COLCHESTER, CT 06415-1405
(860) 537-3977
Mailing address
244 S MAIN ST, COLCHESTER, CT 06415-1405
(860) 537-3977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000462
CT
101YP2500X
Professional Counselor
000493
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300000462CT01
BLUE CROSS BLUE SHIELD
CT
Enumeration date
12/08/2006
Last updated
09/11/2025
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