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Provider Information for 1134585201


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ALYCE REDMAN LCPC


Sex: Female

NPI: 1134585201
Last Updated: 2016-01-05
Certification Date:

Details

NameValue
NPI1134585201
Enumeration Date2016-01-05
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 200 7TH AVE
SUITE 150
SANTA CRUZ, CA 95062-4668
United States

Phone: | Fax:
 
Primary Practice Address 200 7TH AVE
SUITE 150
SANTA CRUZ, CA 95062-4668
United States

Phone: 831-462-1060 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor