Doctor Name: | MS. ALICE LOCKE-CHEZAR |
NPI Number: | 1083857296 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. MFT, ATR |
License Number: | MFC44964 |
Business Practice Address: | 851 Fremont Ave Los Altos, CA - 940245698 |
Business Phone Number: | 6503395101 |
Business Fax Number: | |
Mailing Address: | 821 La Jennifer Way, PALO ALTO |
State: | CA |
Postal Code: | 943062646 |
Phone Number: | 6503395101 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2009 |
NPI Last Update Date: | 04/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFC44964 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |