Individual
ALYSSA GONZALEZ CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 428-1131
Mailing address
1720 S AMPHLETT BLVD STE 110, SAN MATEO, CA 94402-2710
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42969
CA
Other
Enumeration date
08/17/2021
Last updated
05/07/2025
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