Provider Demographics
NPI:1043760796
Name:MCEACHRAN, ALYSSA
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:MCEACHRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 CANAL ST. #3
Mailing Address - Street 2:LORENZO BUILDING
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-3216
Mailing Address - Country:US
Mailing Address - Phone:978-686-8202
Mailing Address - Fax:
Practice Address - Street 1:599 CANAL ST #3
Practice Address - Street 2:LORENZO BUILDING
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-3216
Practice Address - Country:US
Practice Address - Phone:978-686-8202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor