Individual
ALESSANDRO STAVOLI DE LA SIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
REBEKAH CHILDREN'S SERVICES 290 LOOF AVENUE, GILROY, CA 95052
(408) 846-2100
Mailing address
290 LOOF AVE, REBEKAH CHILDREN'S SERVICES, GILROY, CA 95020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
151416
CA
Other
Enumeration date
05/28/2024
Last updated
11/21/2024
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