Individual
ALYSSA ANNE SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
118 N BEDFORD RD, MOUNT KISCO, NY 10549-2553
(914) 294-5121
Mailing address
118 N BEDFORD RD, MOUNT KISCO, NY 10549-2553
(914) 294-5121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001464
NY
Other
Enumeration date
10/12/2020
Last updated
04/22/2023
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