Provider Demographics
NPI:1467136937
Name:TOMICH, ALANNAH JUDITH
Entity Type:Individual
Prefix:
First Name:ALANNAH
Middle Name:JUDITH
Last Name:TOMICH
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 1:20025 EL RANCHO WAY
Mailing Address - Street 2:
Mailing Address - City:MONTE RIO
Mailing Address - State:CA
Mailing Address - Zip Code:95462-9731
Mailing Address - Country:US
Mailing Address - Phone:530-444-9021
Mailing Address - Fax:
Practice Address - Street 1:20025 EL RANCHO WAY
Practice Address - Street 2:
Practice Address - City:MONTE RIO
Practice Address - State:CA
Practice Address - Zip Code:95462-9731
Practice Address - Country:US
Practice Address - Phone:865-789-5680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor