Louis C Walthall, Lcswr, Casac
NPI #1679074074 in West Babylon, New York
Provider Information
- NPI Number
- 1679074074
- Entity Type
- Organization
- Organization Name
- Louis C Walthall, Lcswr, Casac
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 22, 2018
- Last Updated
- Feb 22, 2018
Practice Location
- Address
- 10 LODGE PL
- City
- West Babylon
- State
- New York
- ZIP Code
- 11704-1608
- Phone
- (631) 491-5720
Authorized Official
- Name
- LOUIS C WALTHALL, LCSWR, CASAC
- Title
- LICENSED CLINICAL SOCIAL WORKER
- Phone
- (631) 491-5720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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