Individual
ALYSSA MARIE WALB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 DOUGLAS BLVD STE 170, ROSEVILLE, CA 95661-4281
(855) 446-8628
Mailing address
PO BOX 663, SANTA YSABEL, CA 92070-0663
(858) 247-2921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16322
CA
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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