Provider Demographics
NPI:1336606631
Name:HURCHICK, ALYSSA (MS NCC)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:HURCHICK
Suffix:
Gender:F
Credentials:MS NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 FISK ST
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18509-1135
Mailing Address - Country:US
Mailing Address - Phone:570-301-4001
Mailing Address - Fax:
Practice Address - Street 1:1416 MONROE AVE STE 205
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18509-2477
Practice Address - Country:US
Practice Address - Phone:570-871-0203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-23
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty