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General NPI Number Information
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NPI Number | 1538053418
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Entity Type | Individual
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Provider Name | ALYSSIA MARIE MICHACA MS, LAPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 4727 FRIENDSHIP AVE STE 180
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City | PITTSBURGH
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State | PA
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Zip | 15224-1778
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Country | US
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Telephone | 412-203-4835
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Fax |
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Provider Business Mailing Address
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Address Line | 5821 E LIBERTY BLVD APT 4
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City | PITTSBURGH
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State | PA
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Zip | 15206-2488
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Country | US
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Telephone | 412-304-9508
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APC001303
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License Number State | PA
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