Provider Demographics
NPI:1164163572
Name:AL-ZAND, ALIA (LMFT, ALPCC)
Entity Type:Individual
Prefix:
First Name:ALIA
Middle Name:
Last Name:AL-ZAND
Suffix:
Gender:F
Credentials:LMFT, ALPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MORNING SUN AVE
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-3403
Mailing Address - Country:US
Mailing Address - Phone:914-414-3476
Mailing Address - Fax:
Practice Address - Street 1:822 D ST # 8
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-2814
Practice Address - Country:US
Practice Address - Phone:415-323-6620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA144979106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist