Individual
BLAKE ALLISON MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
531 E 72ND ST, NEW YORK, NY 10021-4015
(484) 574-2734
Mailing address
531 E 72ND ST APT 4B, NEW YORK, NY 10021-4016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011506
NY
Other
Enumeration date
08/22/2021
Last updated
02/06/2022
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