Provider Demographics
NPI:1740688449
Name:PULLMAIN-DROLLETTE, ALYSSA (LCSW-R)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:PULLMAIN-DROLLETTE
Suffix:
Gender:
Credentials:LCSW-R
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:PULLMAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22 US OVAL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12903-5900
Mailing Address - Country:US
Mailing Address - Phone:518-561-1767
Mailing Address - Fax:
Practice Address - Street 1:2155 NY-22B
Practice Address - Street 2:
Practice Address - City:MORRISONVILLE
Practice Address - State:NY
Practice Address - Zip Code:12962
Practice Address - Country:US
Practice Address - Phone:518-563-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-11
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086709104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker