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Individual

ALYSSA M GAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
360 STATE ROUTE 17M, MONROE, NY 10950-3443
(845) 547-0479
Mailing address
73 UNION ST, MONTGOMERY, NY 12549-1324
(845) 775-9010

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011290-01
NY
101YM0800X
Mental Health Counselor
NY

Other

Enumeration date
06/06/2019
Last updated
06/09/2021
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