Provider Demographics
NPI:1114464096
Name:RODRIGUEZ, ALLISON CAHILL (MFT)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:CAHILL
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:CAHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1800 HARRISON ST FL 7
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3466
Mailing Address - Country:US
Mailing Address - Phone:925-847-5000
Mailing Address - Fax:
Practice Address - Street 1:913 WILLOW ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-2380
Practice Address - Country:US
Practice Address - Phone:408-785-1778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-30
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85941106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist