Healthcare Provider Details

I. General information

NPI: 1336880962
Provider Name (Legal Business Name): ALESSANDRA ALSIP LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALESSANDRA ALSIP LPC

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8380 YEISLEY CT
KETCHIKAN AK
99901-9143
US

IV. Provider business mailing address

7172 N TONGASS HWY # 902
WARD COVE AK
99928-9800
US

V. Phone/Fax

Practice location:
  • Phone: 907-617-8764
  • Fax:
Mailing address:
  • Phone: 907-617-8764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number254954
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: