IndividualActive
Alyssa Gonshorowski, LPC
NPI 1649921784 · Professional Counselor · Evanston, WY
Provider details
- NPI number
- 1649921784
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- License
- CP5164-R (NV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
190 Overthrust Rd
Evanston, WY 82930
Phone: (307) 789-4224
Fax: (307) 789-4225
Approximate (ZIP-level) locationGet directions
Mailing address
1248 E 17th St
Idaho Falls, ID 83404-6147
Registry dates
- Enumerated
- 2022-01-11
- Last updated
- 2022-11-03
- Certified
- 2022-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.