Healthcare Provider Details

I. General information

NPI: 1265974570
Provider Name (Legal Business Name): ALYSSA BUFANO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALYSSA HILL LPC

II. Dates (important events)

Enumeration Date: 11/17/2016
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 E DRINKER ST
DUNMORE PA
18512-2549
US

IV. Provider business mailing address

629 E DRINKER ST STE 2
DUNMORE PA
18512-2549
US

V. Phone/Fax

Practice location:
  • Phone: 570-507-3189
  • Fax: 570-291-4939
Mailing address:
  • Phone: 570-507-3189
  • Fax: 570-291-4939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC014499
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: