Individual
ALYSSA MARIE ROSTRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 W BRIGGSMORE AVE BLDG A, MODESTO, CA 95350-3839
(209) 526-1476
Mailing address
2000 W BRIGGSMORE AVE BLDG A, MODESTO, CA 95350-3839
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/25/2019
Last updated
07/14/2026
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