Basic Information
| Provider Information | |||||||||
| NPI: | 1619211190 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCALEESE | ||||||||
| FirstName: | SCARLETT | ||||||||
| MiddleName: | O | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MA, LMFT, CPRP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | MCALEESE | ||||||||
| OtherFirstName: | SCARLETT | ||||||||
| OtherMiddleName: | O | ||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MA, LMFT, CPRP | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 617 BAYONET CIR | ||||||||
| Address2: | |||||||||
| City: | MARINA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939334600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8314403590 | ||||||||
| FaxNumber: | 8312215220 | ||||||||
| Practice Location | |||||||||
| Address1: | 343 DELA VINA AVE | ||||||||
| Address2: | |||||||||
| City: | MONTEREY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939403974 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8316473000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2012 | ||||||||
| LastUpdateDate: | 09/13/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 84618 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.