Organization
TENISE WALL, LCSW COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TENISE M. WALL PHD (CEO)
(845) 551-2832
Entity
Organization
Contact information
Practice address
61 HIGHLAND AVE, MIDDLETOWN, NY 10940-5534
(845) 551-2832
(844) 212-3386
Mailing address
76 EISENHOWER DR, MIDDLETOWN, NY 10940-4536
(845) 551-2832
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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