Provider Demographics
NPI:1063036812
Name:HILDEBRAND, ALISON LYNN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:LYNN
Last Name:HILDEBRAND
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2570 VIA TEJON
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-1348
Mailing Address - Country:US
Mailing Address - Phone:310-779-8668
Mailing Address - Fax:
Practice Address - Street 1:2570 VIA TEJON
Practice Address - Street 2:
Practice Address - City:PALOS VERDES ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-1348
Practice Address - Country:US
Practice Address - Phone:310-779-8668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-07
Last Update Date:2020-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52035106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist