Individual
ELIZABETH WALBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC, CASAC
Contact information
Practice address
1545 ATLANTIC AVE, INTERFAITH MEDICAL CENTER 3S, BROOKLYN, NY 11213-1122
(718) 613-4457
Mailing address
175 W 79TH ST, #16C, NEW YORK, NY 10024-6450
(212) 787-2766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19289
NY
101YM0800X
Mental Health Counselor
002676-1
NY
103TH0004X
Health Psychologist
Primary
002676-1
NY
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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