Provider Demographics
NPI:1508319534
Name:SUMNER, ALYSSA (LPCC)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:SUMNER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:FINNESGARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMHC
Mailing Address - Street 1:343 WOODLAKE DR SE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-6242
Mailing Address - Country:US
Mailing Address - Phone:507-289-2089
Mailing Address - Fax:
Practice Address - Street 1:343 WOODLAKE DR SE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-6242
Practice Address - Country:US
Practice Address - Phone:507-289-2089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health