IndividualActive
Antanaya Wall
NPI 1447866413 · Professional Counselor · Wynantskill, NY
Provider details
- NPI number
- 1447866413
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
614 Cooper Hill Rd
Wynantskill, NY 12198-2906
Phone: (518) 283-6500
Approximate (ZIP-level) locationGet directions
Mailing address
614 Cooper Hill Rd
Wynantskill, NY 12198-2906
Registry dates
- Enumerated
- 2020-09-16
- Last updated
- 2020-09-16
- Certified
- 2020-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.