Individual
MRS. NELLIE TAYLOR WALTHRUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
999 BRUSH HOLLOW RD, WESTBURY, NY 11590-1704
(516) 997-2926
(516) 997-4721
Mailing address
480 OLD WESTBURY RD, ROSLYN HEIGHTS, NY 11577-2215
(516) 626-1971
(516) 626-8043
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8328
NY
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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