Individual
ALLISON IVANCOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1889 LAWRENCE RD, SANTA CLARA, CA 95051-2166
(408) 423-2000
Mailing address
741 MARGARET LN, CAMPBELL, CA 95008-4415
(408) 203-2265
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
149444
CA
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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