Individual
ALICIA MARIE LEPORATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
9 GRAYWOOD RD, PORT WASHINGTON, NY 11050
(518) 364-4291
Mailing address
9 GRAYWOOD RD, PORT WASHINGTON, NY 11050-1515
(518) 364-4291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005253-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2010
Last updated
06/20/2018
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