Alyssa Nicole Gordon
Counselor, Mental Health in Brooklyn, NY. Individual provider (NPI-1).
NPI number1104745009
StatusActive
Last updated in NPPESJul 14, 2026
Details
- NPI
- 1104745009
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Nicole Gordon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2026
- Certification date
- Jul 14, 2026
- Last updated
- Jul 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | TBD | NY | Yes |
Practice location
134 N 4th StBrooklyn, NY 11249-3296
Phone 646-450-7748
Mailing address
13 Townsend RdLagrangeville, NY 12540-6300
Phone 757-561-3489
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