Individual
MISS ALISSA MADELINE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, AMFT, APCC
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1486
(818) 654-3828
(818) 654-3878
Mailing address
26096 TAMPICO DR, VALENCIA, CA 91355-3310
(818) 457-6896
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
06/20/2023
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