Provider Demographics
NPI:1346951308
Name:KULKA, ALYSSA FAITH (LPC)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:FAITH
Last Name:KULKA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8622 CROWNHILL BLVD STE 214
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1135
Mailing Address - Country:US
Mailing Address - Phone:210-934-5726
Mailing Address - Fax:
Practice Address - Street 1:8622 CROWNHILL BLVD STE 214
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1135
Practice Address - Country:US
Practice Address - Phone:210-934-2756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83149101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional