Individual
ALISSA NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
644 POLLASKY AVE STE 203, CLOVIS, CA 93612-1883
(559) 212-4377
Mailing address
2465 HOLLY AVE, CLOVIS, CA 93611-6559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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