Individual provider · Type 1 NPI
Alix Walczuk, MS
Mental Health Counselor · Deer Park, NY
NPI number
1669994463
Active
Practice location
329 W 20th St
Deer Park, NY 11729-6317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 012671 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1669994463
Alix Walczuk, MS's National Provider Identifier is 1669994463, issued on Jul 13, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Deer Park, NY. The record was last updated on Oct 24, 2025.