Individual provider · Type 1 NPI

Kevin Michael Wadalavage, L.M.H.C.

Addiction (Substance Use Disorder) Counselor · Forest Hills, NY

NPI number 1629088117 Active

Practice location

184 Burns St
Forest Hills, NY 11375-6128

Call (718) 520-0124 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2421 (NY)
Mental Health Counselor 101YM0800X2140 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1629088117

Kevin Michael Wadalavage, L.M.H.C.'s National Provider Identifier is 1629088117, issued on Aug 8, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Forest Hills, NY. The record was last updated on Sep 11, 2025.