Provider Demographics
NPI:1679270557
Name:CHRISTIANSEN, ALLYSEN (LPC)
Entity Type:Individual
Prefix:
First Name:ALLYSEN
Middle Name:
Last Name:CHRISTIANSEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 W CHOCOLATE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-1632
Mailing Address - Country:US
Mailing Address - Phone:717-810-1974
Mailing Address - Fax:
Practice Address - Street 1:48 N QUEEN ST FL 2
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3816
Practice Address - Country:US
Practice Address - Phone:717-810-1974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014943101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional