National Provider Identifier
Alissa Blake Walruth, LMHC
Alissa Blake Walruth, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Corning, NY and a listed phone number of (607) 962-3146.
Profile Overview
- NPI
- 1629758404
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- July 18, 2023
- Last Updated
- July 18, 2023
Practice Location
- 280 Princeton Avenue Ext
- Corning, NY 14830-1524
Phone: (607) 962-3146
Mailing Address
- 14471 W Lake RD
- Hammondsport, NY 14840-8549
Specialties
- Mental Health Counselor (101YM0800X)
- School Counselor (101YS0200X)
Full Record
- NPI
- 1629758404
- Entity Type
- Individual
- Last Name
- Walruth
- First Name
- Alissa
- Middle Name
- Blake
- Credential
- LMHC
- Mailing Street Address
- 14471 W Lake RD
- Mailing City
- Hammondsport
- Mailing State
- NY
- Mailing ZIP Code
- 14840-8549
- Mailing Country
- US
- Mailing Phone
- (607) 684-4594
- Practice Street Address
- 280 Princeton Avenue Ext
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-1524
- Practice Country
- US
- Practice Phone
- (607) 962-3146
- Enumeration Date
- July 18, 2023
- Last Updated
- July 18, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 18, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), School Counselor (101YS0200X)