Organization
AWAKENING MOUNTAINS LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA LYNN PULLMAIN-DROLLETTE LCSW-R (CEO)
(315) 276-6257
Entity
Organization
Contact information
Practice address
2364 STATE ROUTE 374, ELLENBURG DEPOT, NY 12935-3312
(315) 276-6257
Mailing address
2364 STATE ROUTE 374, ELLENBURG DEPOT, NY 12935-3312
(315) 276-6257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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