Gannon, Alyssa

Gannon, Alyssa is an sole proprietor health care provider with primary practice located at 1401 Los Gamos Drive Suite 240, San Rafael CA 94903. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Gannon, Alyssa can be contacted via phone (415) 457-1925.

Contact Information

Primary practice address
1401 Los Gamos Drive Suite 240 San Rafael CA 94903
Phone: (415) 457-1925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1871965178
LBN Legal business name Gannon, Alyssa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2015
Last updated Oct 26th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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