Individual
ALYSSA TALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
5 OPAL PL, ABERDEEN, NJ 07747-2105
(732) 546-6663
Mailing address
219 TAYLORS MILLDS RD, ENGLISHTOWN, NJ 07726
(908) 415-2042
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00417800
NJ
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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