Individual
ALISA STUCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 CAMINO DEL RIO S STE 201, SAN DIEGO, CA 92108-3505
(619) 381-7748
Mailing address
409 CAMINO DEL RIO S STE 201, SAN DIEGO, CA 92108-3505
(619) 381-7748
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14374
CA
Other
Enumeration date
10/03/2017
Last updated
08/16/2023
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