Addison, Alyssa
Addison, Alyssa is an individual health care provider with primary practice located at 3701 Landsdowne Dr , Ashland KY 41102-5422. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Addison, Alyssa can be contacted via phone (606) 324-3005.Contact Information
Primary practice address
3701 Landsdowne Dr
Ashland KY 41102-5422
Phone: (606) 324-3005
Fax: (606) 329-1530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LPCCCA00195001 | Kentucky |
Profile Details
| NPI number | 1194126805 |
|---|---|
| LBN Legal business name | Addison, Alyssa |
| Credentials | LPCA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2014 |
| Last updated | Nov 6th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194126805 | NPPES |
| Kentucky | MEDICAID | 30610026 |
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