Individual
EMILY WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC-LPC
Contact information
Practice address
101 GROVE ST, STAMFORD, CT 06901-1844
(917) 880-0292
Mailing address
562 HOPE ST, STAMFORD, CT 06907-2722
(914) 361-5037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
009516-1
NY
101YP2500X
Professional Counselor
Primary
004951
CT
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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