Most Relevant Information
Provider Data
| NPI Number: | 1003528605 |
| Provider Name: | ALYSSA HENSLEY M.DIV., LCMHCA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | A16164 |
Most Important Dates
| Enumeration Date: | 12/15/2022 |
| Last Updated: | 12/15/2022 |
Provider Practice Location
3505 BAMBOO RD
BOONE
NC
286079673
Practice Location Phone/Fax
| Phone: | 8286108105 |
| Fax: |
Provider Mailing Location
604 WILDCAT RD
DEEP GAP
NC
286189272
Provider Mailing Phone/Fax
| Phone: | 8286108105 |
| Fax: |