Individual
ALISA IBRAGIMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 HUDSON ST FL 9, NEW YORK, NY 10013-1810
(347) 946-3965
Mailing address
3178 NOSTRAND AVE APT 1D, BROOKLYN, NY 11229-3216
(347) 989-5916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
015159
NY
Other
Enumeration date
10/10/2022
Last updated
10/27/2025
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