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Provider Information for 1972988822


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ALEASE PATRICIA ROSSI LPCC


Sex: Female

NPI: 1972988822
Last Updated: 2024-02-26
Certification Date: 2024-02-26

Details

NameValue
NPI1972988822
Enumeration Date2015-07-21
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 2610 ALNE DR
HEMET, CA 92545-1202
United States

Phone: 909-336-8054 | Fax:
 
Primary Practice Address 5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
United States

Phone: 951-683-6593 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193400000X - Single Specialty Group
101YM0800X - Counselor - Mental Health
CA14255