Individual
ALYSSA MORGAN BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMHC
Contact information
Practice address
1239 MCFADDEN DR, EAST NORTHPORT, NY 11731-2723
(631) 682-9209
Mailing address
1239 MCFADDEN DR, EAST NORTHPORT, NY 11731-2723
(631) 682-9209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
014420
NY
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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