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NPI Code Detail

MEDICARE: ALYSSA ALLIGER LMSW

MEDICARE:   ALYSSA  ALLIGER  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor62702TX

General Provider Information

NPI Number : 1073068201
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA ALLIGER LMSW
Provider Business Mailing Address
First Line : 16463 HICKORY KNOLL DR
Second Line :
City : HOUSTON
State : TX
Zip : 77059-5325
Country : US
Telephone Number : 518-641-2695
Fax Number :
Provider Business Practice Location Address
First Line : 16463 HICKORY KNOLL DR
Second Line :
City : HOUSTON
State : TX
Zip : 77059-5325
Country : US
Telephone Number : 518-641-2695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2016
Last Update Date : 07/10/2018

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Directions to “ ALYSSA ALLIGER LMSW” Practice Location

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