| Stefanie Wallace, CASAC-T | |
|
2155 State Route 22b, Morrisonville, NY 12962-3417 | |
| (518) 563-8000 | |
| Not Available |
| Full Name | Stefanie Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2155 State Route 22b, Morrisonville, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558836908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 34779 (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stefanie Wallace, CASAC-T 130 Arizona Ave Ste 1500, Plattsburgh, NY 12903-4908 Ph: (518) 565-4060 | Stefanie Wallace, CASAC-T 2155 State Route 22b, Morrisonville, NY 12962-3417 Ph: (518) 563-8000 |
Sunnie Lobdell, Counselor Medicare: Medicare Enrolled Practice Location: 2155 State Route 22b, Morrisonville, NY 12962 Phone: 518-563-8000 | |
Jake Santilli, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2155 Route 22b, Morrisonville, NY 12962 Phone: 518-563-8000 | |
Mr. Darry A. Roberts, LMHC, NCC. Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 Ram Rd, Morrisonville, NY 12962 Phone: 518-293-1279 Fax: 518-293-1279 | |
Lindsay Reid Fitz-gerald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2155 Ny-22b, Morrisonville, NY 12962 Phone: 518-563-8000 Fax: 518-563-8261 | |
Jennifer Guynup, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2155 State Route 22b, Morrisonville, NY 12962 Phone: 518-563-8000 | |
Aaron Alton-robert Lowes, Counselor Medicare: Medicare Enrolled Practice Location: 2155 Route 22b, Morrisonville, NY 12962 Phone: 518-563-8000 | |
Amber Knapp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2155 Route 22b, Morrisonville, NY 12962 Phone: 518-563-8000 |