Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Cynthia L Wallace, THERAPIST

Individual provider Mental Health Counselor · NPI 1710264940

Miss. Cynthia L Wallace, THERAPIST is a Mental Health Counselor in Staten Island, New York. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
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Practice location Address checks out

358 Saint Marks Pl
Staten Island, NY 10301-2417
Phone: (718) 727-3303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1710264940
Entity typeIndividual (Type 1)
GenderFemale
Credentials THERAPIST
Sole proprietorYes
NPI enumeratedNovember 16, 2011
Last updated in NPPESNovember 16, 2011

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