Basic Information
| Provider Information | |||||||||
| NPI: | 1306014832 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALESSIO | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | JOSEPH | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.S., M.F.T.I. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 103 D ST STE A | ||||||||
| Address2: | |||||||||
| City: | MARYSVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959016017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5306713427 | ||||||||
| FaxNumber: | 5306713877 | ||||||||
| Practice Location | |||||||||
| Address1: | 103 D ST STE A | ||||||||
| Address2: | |||||||||
| City: | MARYSVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959016017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5306713427 | ||||||||
| FaxNumber: | 5306713877 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/19/2008 | ||||||||
| LastUpdateDate: | 02/19/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | IMF 52662 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.