Provider Demographics
NPI:1285224345
Name:HESS, ALLOGAN-GREGORY MARK (AMFT)
Entity Type:Individual
Prefix:MR
First Name:ALLOGAN-GREGORY
Middle Name:MARK
Last Name:HESS
Suffix:
Gender:M
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 MAPLE ST STE I
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-5041
Mailing Address - Country:US
Mailing Address - Phone:916-660-6524
Mailing Address - Fax:
Practice Address - Street 1:701 HIGH ST STE 205
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-4734
Practice Address - Country:US
Practice Address - Phone:916-415-8456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA137487106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist