Individual
ALLYSON NICOLE ANTONACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC DP
Contact information
Practice address
18 MILLER RD, MAHOPAC, NY 10541-2220
(845) 628-2300
Mailing address
18 MILLER RD, MAHOPAC, NY 10541-2220
(845) 628-2300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
014980
NY
Other
Enumeration date
06/24/2021
Last updated
05/06/2025
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