Individual
ALYSSA BUCCAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2230 PROFESSIONAL DR STE A, SANTA ROSA, CA 95403-3015
(707) 483-9061
Mailing address
2230 PROFESSIONAL DR STE A, SANTA ROSA, CA 95403-3015
(707) 483-9061
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F2763689
DMV
CA
Enumeration date
11/30/2018
Last updated
10/26/2022
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