Provider Demographics
NPI:1194426130
Name:GURSKY, ALYSSA BETH (MA, LPC ASSOCIATE)
Entity type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:BETH
Last Name:GURSKY
Suffix:
Gender:F
Credentials:MA, LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2580 SE ANKENY ST APT 206
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-2297
Mailing Address - Country:US
Mailing Address - Phone:516-761-4240
Mailing Address - Fax:
Practice Address - Street 1:2580 SE ANKENY ST APT 206
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-2297
Practice Address - Country:US
Practice Address - Phone:516-761-4240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health