Individual
MR. ARTHUR DAVID WALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC, LMSW
Contact information
Practice address
116 VISTA CT, RIVERHEAD, NY 11901-5005
(631) 276-3612
Mailing address
116 VISTA CT, RIVERHEAD, NY 11901-5005
(631) 276-3612
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/09/2008
Last updated
10/25/2014
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