John Alilovich, MFT
Individual provider Active NPI Marriage & Family Therapist · Sebastopol, CA
NPI 1073872115 · NPPES record last updated May 9, 2012
Key facts
- NPI
- 1073872115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC27006 (CA)
- Practice address
- 103 Morris St
Suite G
Sebastopol, CA 95472-3862 - Phone
- (707) 824-8401
- Fax
- (707) 824-8301
- NPI assigned
- May 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC27006 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC27006 | CA | Yes |
Addresses
Primary practice location
103 Morris St
Suite G
Sebastopol, CA 95472-3862
Mailing address
103 Morris St
Suite G
Sebastopol, CA 95472-3862
Phone (707) 824-8401
Other providers in Sebastopol, CA
- Judith S. Adler
- Advanced Skin Care and Dermatology Physicians of Northern California,
- Angela Agenlian-Neuert
- Brooke (Ananda) Veronica Ahearn
- Erika Alexander
- All Heart Holistic Homecare Inc
- Mary Altenau
- American Specialty Physicians Group Inc
- Amitabha Medical Clinic & Healing Center
- Danielle Laura Amorelli
All providers in Sebastopol, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.