Individual
CHELSEA MOJALLALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 SUNRISE HWY, BOHEMIA, NY 11716-4600
(631) 552-5524
Mailing address
71 EVERGREEN LN, EAST PATCHOGUE, NY 11772-5805
(631) 609-7002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
017259
NY
Other
Enumeration date
02/19/2024
Last updated
01/05/2026
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