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Individual
TAMMY LYNN BISSONNETTE
Active
Individual
TAMMY LYNN BISSONNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC, CASAC, QHP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
015052
NY
101YM0800X
Mental Health Counselor
P118996
NY
Other
Enumeration date
02/12/2024
Last updated
06/26/2025
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