Alyssa Nicole Balli, M.A.
Marriage & Family Therapist in Mission Viejo, CA. Individual provider (NPI-1).
NPI number1144583782
StatusActive
Last updated in NPPESJul 6, 2020
Details
- NPI
- 1144583782
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alyssa Nicole Balli
- Credential
- M.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2012
- Certification date
- Jul 6, 2020
- Last updated
- Jul 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 119630 | CA | Yes |
| 106H00000X | Marriage & Family Therapist | 92669 | CA |
Practice location
27261 Las Ramblas Ste 220Mission Viejo, CA 92691-6468
Phone 909-792-0747
Mailing address
27261 Las Ramblas Ste 220Mission Viejo, CA 92691-6468
Phone 909-973-8730
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