Individual provider · Type 1 NPI

Bonita S. Waylett, LCSW R

Mental Health Counselor · Gloversville, NY

NPI number 1437102985 Active

Practice location

57 E Fulton St
Gloversville, NY 12078-3212

Call (518) 773-3531 Map

Fax (518) 773-9103

Mailing address

177 Sacandaga Rd
Johnstown, NY 12095-3787

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR053562-1 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1437102985

Bonita S. Waylett, LCSW R's National Provider Identifier is 1437102985, issued on May 18, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gloversville, NY. The record was last updated on Jul 23, 2013.