Alisha Ann Boley

Individual provider Active NPI Marriage & Family Therapist · Saratoga, CA

NPI 1942558713 · NPPES record last updated Mar 30, 2022

Key facts

NPI
1942558713
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
52447 (CA)
Practice address
18809 Cox Ave Ste 258
Saratoga, CA 95070-6617
Phone
(408) 384-9297
NPI assigned
Aug 27, 2012
Sex
Female
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

LicenseStateTypeSpecialty
52447CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 52447 CA Yes

Addresses

Primary practice location

18809 Cox Ave Ste 258
Saratoga, CA 95070-6617

Mailing address

PO Box 413
Redwood Estates, CA 95044-0413
Phone (408) 489-7642

Other providers in Saratoga, CA

All providers in Saratoga, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.