Adame, Alisa Victoria

Adame, Alisa Victoria is an sole proprietor health care provider with primary practice located at 820 E Gilbert St , San Bernardino CA 92415-2847. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Adame, Alisa Victoria can be contacted via phone (909) 387-7200.

Contact Information

Primary practice address
820 E Gilbert St San Bernardino CA 92415-2847
Phone: (909) 387-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 136152 California

Profile Details

NPI number 1881254795
LBN Legal business name Adame, Alisa Victoria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2019
Last updated Mar 22nd, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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