Individual
MRS. ALISA O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1976 GRAND AVE, NORTH BALDWIN, NY 11510-2813
(516) 855-1800
(516) 855-1811
Mailing address
1976 GRAND AVE, NORTH BALDWIN, NY 11510-2813
(516) 855-1800
(516) 855-1811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007433
NY
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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