Individual
ALLISON THALER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3707 BLACKSTONE AVE APT 403, BRONX, NY 10463-1468
(917) 612-0551
Mailing address
3707 BLACKSTONE AVE APT 403, BRONX, NY 10463-1468
(917) 612-0551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
014194
NY
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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