Individual
ALYSSA MARIE GRANATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 W HEDDING ST, SAN JOSE, CA 95110-1706
(408) 808-5221
Mailing address
PO BOX 759, GILROY, CA 95021-0759
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/22/2018
Last updated
09/16/2024
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