Doctor Name: | ALISA HUNTINGTON |
NPI Number: | 1346262672 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | MFC 36959 |
Business Practice Address: | 47825 Oasis St Indio, CA - 922016950 |
Business Phone Number: | 7608638517 |
Business Fax Number: | |
Mailing Address: | 47825 Oasis St, INDIO |
State: | CA |
Postal Code: | 922016950 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 07/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | MFC 36959 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |