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MS. ALISA GENOVESE MFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1104358985

Individual Registrant:
MS. ALISA  GENOVESE MFT
Gender: F
Sole Proprietor

Location and contact information for practice:
376 COLUSA AVE STE 1  KENSINGTON, CA 94707-1213 US
Tel: 510-286-7599  Fax: --

Contact information for business:
376 COLUSA AVE STE 1  KENSINGTON, CA 94707-1213 US
Tel: 510-286-7599  Fax: --

Registration Information:
NPI: 1104358985
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFT30365

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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