Individual
ALISSA RAYLEE MANCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 N 1ST ST STE 135, FRESNO, CA 93726-6818
(559) 940-1629
Mailing address
3636 N 1ST ST STE 135, FRESNO, CA 93726-6818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24914
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
06/02/2026
Last updated
06/09/2026
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