Doctor Name: | ALYSSA BORSKI |
NPI Number: | 1114353372 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, SAC-IT |
License Number: | |
Business Practice Address: | 22 N Pelham St Rhinelander, WI - 545013148 |
Business Phone Number: | 7153656696 |
Business Fax Number: | 7153656768 |
Mailing Address: | 22 N. Pelham St, RHINELANDER |
State: | WI |
Postal Code: | 54501 |
Phone Number: | 7153656696 |
Fax Number: | 7153656768 |
NPI Enumeration Date: | 09/19/2013 |
NPI Last Update Date: | 08/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |