Provider Demographics
NPI:1396358602
Name:ALONZO, MARIE LIZBETH
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:LIZBETH
Last Name:ALONZO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 DELA VINA AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-3974
Mailing Address - Country:US
Mailing Address - Phone:831-400-7030
Mailing Address - Fax:831-647-3004
Practice Address - Street 1:200 CASENTINI ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93907-2299
Practice Address - Country:US
Practice Address - Phone:831-758-9457
Practice Address - Fax:831-758-2825
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-26
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health