Provider Demographics
NPI:1447624267
Name:WALKO, ASHLEY (LMHC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:WALKO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 201
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-0201
Mailing Address - Country:US
Mailing Address - Phone:845-430-3158
Mailing Address - Fax:845-265-8291
Practice Address - Street 1:7 INNIS AVE
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-1941
Practice Address - Country:US
Practice Address - Phone:845-419-3939
Practice Address - Fax:845-265-8291
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-17
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006144261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)