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NPI Code Detail

MEDICARE: ALYSSA BRIANNA COON

MEDICARE: ALYSSA BRIANNA COON
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1376335307
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA BRIANNA COON
Provider Business Mailing Address
First Line : 4699 PARKCREST CIR UNIT 207
Second Line :
City : INDIAN LAND
State : SC
Zip : 29707-9697
Country : US
Telephone Number : 703-474-9354
Fax Number :
Provider Business Practice Location Address
First Line : 10700 SIKES PL STE 325
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-8208
Country : US
Telephone Number : 704-247-7353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2025
Last Update Date : 02/19/2026

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Directions to “ ALYSSA BRIANNA COON ” Practice Location

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