Individual
MISS ALISA DORA GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
277 SOUTH ST, SUITE Y, SAN LUIS OBISPO, CA 93401-5039
(805) 541-5144
Mailing address
277 SOUTH ST, SUITE Y, SAN LUIS OBISPO, CA 93401-5039
(805) 541-5144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2086
MEDICAL
CA
Enumeration date
10/03/2007
Last updated
03/24/2026
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