Individual
ALISSA FULLERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
650 S 5TH ST, SAN JOSE, CA 95112-5636
(408) 457-6284
Mailing address
650 S 5TH ST, SAN JOSE, CA 95112-5636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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