Provider Demographics
NPI:1598006132
Name:CASANOVA, ALISON SILVIUS (LMFT)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:SILVIUS
Last Name:CASANOVA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:FAYE
Other - Last Name:SILVIUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 2841
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95055
Mailing Address - Country:US
Mailing Address - Phone:408-596-4701
Mailing Address - Fax:
Practice Address - Street 1:101 CHURCH ST.
Practice Address - Street 2:SUITE 8
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030
Practice Address - Country:US
Practice Address - Phone:408-596-4701
Practice Address - Fax:408-354-0101
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-06
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF64303106H00000X
CA76810106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist