Provider Demographics
NPI:1932493434
Name:SEYKORA, ALYSSA AMBER (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:AMBER
Last Name:SEYKORA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13549 DAN PATCH DR
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-1705
Mailing Address - Country:US
Mailing Address - Phone:612-804-5231
Mailing Address - Fax:
Practice Address - Street 1:13549 DAN PATCH DR
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-1705
Practice Address - Country:US
Practice Address - Phone:612-804-5231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2277106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist