Provider Demographics
NPI:1245572734
Name:WOOD, ALISON ERICA (LMFT, ATR-BC)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:ERICA
Last Name:WOOD
Suffix:
Gender:F
Credentials:LMFT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 ARTESIA BLVD.
Mailing Address - Street 2:SUITE E
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266
Mailing Address - Country:US
Mailing Address - Phone:310-465-3606
Mailing Address - Fax:310-436-8285
Practice Address - Street 1:1721 ARTESIA BLVD.
Practice Address - Street 2:SUITE E
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266
Practice Address - Country:US
Practice Address - Phone:310-465-3606
Practice Address - Fax:310-436-8285
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-22
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001233221700000X
390200000X
CA122281106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program