MEDICARE: ALYSSA HURCHICK MS NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1336606631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA HURCHICK MS NCC

Provider Business Mailing Address
First Line	:	933 FISK ST
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18509-1135
Country	:	US
Telephone Number	:	570-301-4001
Fax Number	:

Provider Business Practice Location Address
First Line	:	1416 MONROE AVE STE 205
Second Line	:
City	:	DUNMORE
State	:	PA
Zip	:	18509-2477
Country	:	US
Telephone Number	:	570-871-0203
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2019
Last Update Date	:	01/11/2024

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