Provider Demographics
NPI:1609204692
Name:HARNETT, ALISHA (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:HARNETT
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 SCENIC RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-2346
Mailing Address - Country:US
Mailing Address - Phone:724-591-8027
Mailing Address - Fax:
Practice Address - Street 1:304 SCENIC RIDGE CT
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-2346
Practice Address - Country:US
Practice Address - Phone:724-591-8027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007135101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional