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Individual

MR. DAVID WALENCZYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
20 N MAIN ST, 3RD FLOOR, NORWALK, CT 06854-2656
(203) 838-6508
(203) 852-7021
Mailing address
20 N MAIN ST, 3RD FLOOR, NORWALK, CT 06854-2656
(203) 838-6508
(203) 852-7021

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000620
CT
101YM0800X
Mental Health Counselor
Primary
000620
CT

Other

Enumeration date
01/25/2012
Last updated
12/22/2014
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