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Individual

ALYSSA O'KEEFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCC, LPC

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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