Provider Demographics
NPI:1073171732
Name:DREHER, ALYSSA (BS, CACIII)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:DREHER
Suffix:
Gender:F
Credentials:BS, CACIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 ELM ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-1024
Mailing Address - Country:US
Mailing Address - Phone:303-803-4651
Mailing Address - Fax:
Practice Address - Street 1:3550 ELM ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-1024
Practice Address - Country:US
Practice Address - Phone:303-803-4651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007060101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)