Individual provider · Type 1 NPI

Alissa Blake Walruth, LMHC-D

Mental Health Counselor · Penn Yan, NY

NPI number 1629758404 Active

Practice location

3 School Dr
Penn Yan, NY 14527-1081

Call (315) 924-6050 Map

Mailing address

601B W Washington St
Geneva, NY 14456-2119

Other practice locations

  • 280 Princeton Avenue Ext, Corning, NY 14830-1524 · (607) 962-3146

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X013651 (NY)
School Counselor 101YS0200X1578785221 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1629758404

Alissa Blake Walruth, LMHC-D's National Provider Identifier is 1629758404, issued on Jul 18, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Penn Yan, NY. The record was last updated on Jul 15, 2026.