Provider Demographics
NPI:1508229758
Name:WALKO, STEPHEN JAY II (LMHC)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:JAY
Last Name:WALKO
Suffix:II
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5 ACADEMY ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-1702
Mailing Address - Country:US
Mailing Address - Phone:845-616-6048
Mailing Address - Fax:888-972-5017
Practice Address - Street 1:5 ACADEMY ST STE 1
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-1702
Practice Address - Country:US
Practice Address - Phone:845-616-6048
Practice Address - Fax:888-972-5017
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005817-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health