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Individual

BRIANNA MORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
368 VETERANS MEMORIAL HWY STE 3, COMMACK, NY 11725-4322
(631) 533-0315
Mailing address
368 VETERANS MEMORIAL HWY STE 3, COMMACK, NY 11725-4322
(631) 533-0315

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
015118
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AR198076
CPH AND ASSOCIATES
Enumeration date
12/08/2021
Last updated
09/13/2024
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