Mr. Winston Wallace
Mr. Winston Wallace is a Mental Health Counselor in Saint Albans, New York. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
11454 198th StSaint Albans, NY 11412-2821
Phone: (718) 506-6968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1750639928 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 20, 2012 |
| Last updated in NPPES | August 20, 2012 |
| Mailing address | 11454 198th St, Saint Albans, NY 11412-2821 |
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