Individual provider · Type 1 NPI
Tanya B. Wallace
Counselor · Baldwin, NY
NPI number
1902588015
Active
Practice location
1068 Hastings St
Baldwin, NY 11510-4741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Another provider at this address
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About NPI 1902588015
Tanya B. Wallace's National Provider Identifier is 1902588015, issued on Aug 7, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Baldwin, NY. The record was last updated on Aug 7, 2023.