Individual provider · Type 1 NPI

Alyssa Gannon

Counselor · San Rafael, CA

NPI number 1871965178 Active

Practice location

1401 Los Gamos Drive, Suite 240
San Rafael, CA 94903

Call (415) 457-1925 Map

Mailing address

1950 Matzen Ranch Circle
Petaluma, CA 94954

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1871965178

Alyssa Gannon's National Provider Identifier is 1871965178, issued on Oct 26, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Rafael, CA. The record was last updated on Oct 26, 2015.