Individual
ALLISON OPAL KAGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
700 LAKELAND AVE STE 2D, BOHEMIA, NY 11716-3936
(631) 767-1589
Mailing address
2158 WILLOW ST, WANTAGH, NY 11793-4223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P110130
NY
101YP2500X
Professional Counselor
Primary
013273-01
NY
Other
Enumeration date
06/29/2021
Last updated
04/22/2024
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