Provider Demographics
NPI:1033226675
Name:BUCKLEY, ALISON ANNE (MFT)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:ANNE
Last Name:BUCKLEY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5890 NEWMAN CT STE 3
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-2608
Mailing Address - Country:US
Mailing Address - Phone:916-452-7481
Mailing Address - Fax:916-736-0282
Practice Address - Street 1:5890 NEWMAN CT STE 3
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-2608
Practice Address - Country:US
Practice Address - Phone:916-452-7481
Practice Address - Fax:916-736-0282
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40086106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist