Provider Demographics
NPI:1649777079
Name:GEORGE, ALISON M (LPC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:M
Last Name:GEORGE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:M
Other - Last Name:FUNK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:8623 EAST 32ND ST NORTH, NEW PERSPECTIVES LLC
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226
Mailing Address - Country:US
Mailing Address - Phone:316-869-2888
Mailing Address - Fax:316-425-5550
Practice Address - Street 1:8623 EAST 32ND ST NORTH, NEW PERSPECTIVES LLC
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226
Practice Address - Country:US
Practice Address - Phone:316-869-2888
Practice Address - Fax:316-425-5550
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-11
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3238101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS3238OtherKANSAS BEHAVIORAL SCIENCES REGULATORY BOARD