Provider Demographics
NPI:1336523513
Name:ZUKOWSKI, ALYSSA (MS LPC)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:ZUKOWSKI
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 E DARTMOUTH AVE
Mailing Address - Street 2:APT S303
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80014-7823
Mailing Address - Country:US
Mailing Address - Phone:815-848-7997
Mailing Address - Fax:
Practice Address - Street 1:15001 E OXFORD AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4186
Practice Address - Country:US
Practice Address - Phone:303-693-1550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-17
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0012643101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health