Individual
ALYSSA BOHONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 VETERANS MEMORIAL HWY STE 14, ISLANDIA, NY 11749-1555
(631) 630-6439
Mailing address
58 PITCHPINE PL, MEDFORD, NY 11763-4226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009109
NY
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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