Individual
ALICIA CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
1108 BISSELL AVE, RICHMOND, CA 94801-3135
(510) 307-4506
Mailing address
1108 BISSELL AVE, RICHMOND, CA 94801-3135
(510) 307-4506
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
210155114
CA
106H00000X
Marriage & Family Therapist
Primary
127952
CA
Other
Enumeration date
01/19/2023
Last updated
03/05/2026
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