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NPI Code Detail

MEDICARE: BRITNEY LYN VALACHOVIC LMHC

MEDICARE: BRITNEY LYN VALACHOVIC LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor012266NY

General Provider Information

NPI Number : 1205552940
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITNEY LYN VALACHOVIC LMHC
Provider Business Mailing Address
First Line : 7 CORPORATE DR
Second Line :
City : HALFMOON
State : NY
Zip : 12065-8612
Country : US
Telephone Number : 518-400-0125
Fax Number :
Provider Business Practice Location Address
First Line : 6 CHELSEA PL
Second Line :
City : CLIFTON PARK
State : NY
Zip : 12065-3216
Country : US
Telephone Number : 518-400-0125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2022
Last Update Date : 05/13/2026

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