Individual
ALYSHIA MARCELLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT. APCC, NDTR
Contact information
Practice address
17609 VENTURA BLVD STE 302, ENCINO, CA 91316-5128
(310) 494-6241
Mailing address
2717 S ROBERTSON BLVD, LOS ANGELES, CA 90034-2442
(323) 334-0937
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1491751222
CA
106H00000X
Marriage & Family Therapist
Primary
147455
CA
Other
Enumeration date
12/14/2022
Last updated
09/04/2024
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