Individual
ALYSSA O'KEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
175 WILSON AVE, PORT MONMOUTH, NJ 07758-1420
(551) 221-1759
Mailing address
175 WILSON AVE, PORT MONMOUTH, NJ 07758-1420
(551) 221-1759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00288300
NJ
101YP2500X
Professional Counselor
Primary
37PC00655500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
10/18/2017
Last updated
01/25/2021
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