Individual
ALEXA L GISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 MARCONI AVE, SACRAMENTO, CA 95821-5303
(916) 485-6500
Mailing address
3727 MARCONI AVE, SACRAMENTO, CA 95821-5303
(916) 485-6500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/03/2020
Last updated
11/14/2022
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