Individual
MS. ALISA GENOVESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
376 COLUSA AVE STE 1, KENSINGTON, CA 94707-1213
(510) 286-7599
Mailing address
376 COLUSA AVE STE 1, KENSINGTON, CA 94707-1213
(510) 286-7599
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT30365
CA
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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