Individual
ALYSSIA ANN VALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2495 W MARCH LN, STOCKTON, CA 95207-8251
(209) 465-1080
Mailing address
2495 W MARCH LN, STOCKTON, CA 95207-8251
(209) 465-1080
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
61383
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41498
SANTA CLARA COUNTY ID#
CA
Enumeration date
11/29/2006
Last updated
01/03/2022
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