Individual
AISLYNN ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 GIBSON DR STE 100, ROSEVILLE, CA 95678-5792
(916) 774-6802
Mailing address
516 GIBSON DR STE 100, ROSEVILLE, CA 95678-5792
(167) 749-6802
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT148165
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2023
Last updated
10/24/2024
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