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Individual

ALISSA BLAKE WALRUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
280 PRINCETON AVENUE EXT, CORNING, NY 14830-1524
(607) 962-3146
Mailing address
14471 W LAKE RD, HAMMONDSPORT, NY 14840-8549
(607) 684-4594

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
013651
NY
101YS0200X
School Counselor
1578785221
NY

Other

Enumeration date
07/18/2023
Last updated
07/18/2023
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