Provider Demographics
NPI:1578055992
Name:MOROGIELLO, ALISON WHITEHOUSE (LPC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:WHITEHOUSE
Last Name:MOROGIELLO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:WHITEHOUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27 SINHEUNGBUK-RO 49BEON-GIL
Mailing Address - Street 2:SUITE #702, BLDG 110
Mailing Address - City:PAENGSEONG-EUP, PYEONGTAEK-SI
Mailing Address - State:GYEONGGI-DO
Mailing Address - Zip Code:17977
Mailing Address - Country:KR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:27 SINHEUNGBUK-RO 49BEON-GIL
Practice Address - Street 2:SUITE #702, BLDG 110
Practice Address - City:PAENGSEONG-EUP, PYEONGTAEK-SI
Practice Address - State:GYEONGGI-DO
Practice Address - Zip Code:17977
Practice Address - Country:KR
Practice Address - Phone:822-749-7915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-01
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701009851101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional