Provider Demographics
NPI:1114353372
Name:BORSKI, ALYSSA (LPC, SAC-IT)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:BORSKI
Suffix:
Gender:F
Credentials:LPC, SAC-IT
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:FINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22 N. PELHAM ST
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501
Mailing Address - Country:US
Mailing Address - Phone:715-365-6696
Mailing Address - Fax:715-365-6768
Practice Address - Street 1:22 N PELHAM ST
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-3148
Practice Address - Country:US
Practice Address - Phone:715-365-6696
Practice Address - Fax:715-365-6768
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1427088749Medicaid