| Doctor Name: | ALISSA ANAYA |
| NPI Number: | 1447611140 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M ED., PC |
| License Number: | C.1000282 |
| Business Practice Address: | 418 Center St Wheelersburg, OH - 456941712 |
| Business Phone Number: | 7407762785 |
| Business Fax Number: | |
| Mailing Address: | 1500 Karin St, IRONTON |
| State: | OH |
| Postal Code: | 456381156 |
| Phone Number: | 7406466097 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2016 |
| NPI Last Update Date: | 03/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | C.1000282 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |