Provider Demographics
NPI:1619758992
Name:KERNS, ALYSSA SILVERTHORNE (LPC)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:SILVERTHORNE
Last Name:KERNS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:JUNE
Other - Last Name:SILVERTHORNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23 NEW GALENA RD APT B
Mailing Address - Street 2:
Mailing Address - City:LINE LEXINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18932-9514
Mailing Address - Country:US
Mailing Address - Phone:215-527-8331
Mailing Address - Fax:
Practice Address - Street 1:23 NEW GALENA RD APT B
Practice Address - Street 2:
Practice Address - City:LINE LEXINGTON
Practice Address - State:PA
Practice Address - Zip Code:18932-9514
Practice Address - Country:US
Practice Address - Phone:215-527-8331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015164101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional