Provider Demographics
NPI:1043406945
Name:MCCABE, ALISON JANE (MFT)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:JANE
Last Name:MCCABE
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 1:9090 GLEN ARBOR RD
Mailing Address - Street 2:
Mailing Address - City:BEN LOMOND
Mailing Address - State:CA
Mailing Address - Zip Code:95005-9630
Mailing Address - Country:US
Mailing Address - Phone:831-334-9645
Mailing Address - Fax:
Practice Address - Street 1:6060 GRAHAM HILL RD STE K
Practice Address - Street 2:
Practice Address - City:FELTON
Practice Address - State:CA
Practice Address - Zip Code:95018-9764
Practice Address - Country:US
Practice Address - Phone:831-334-9645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 40448106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist