Provider Demographics
NPI:1609047216
Name:ALONGI, RICHARD (RICHARD ALONGI)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:ALONGI
Suffix:
Gender:M
Credentials:RICHARD ALONGI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 CHERRY ST
Mailing Address - Street 2:STE. 2
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-4202
Mailing Address - Country:US
Mailing Address - Phone:707-573-9690
Mailing Address - Fax:
Practice Address - Street 1:621 CHERRY ST
Practice Address - Street 2:STE. 2
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-4202
Practice Address - Country:US
Practice Address - Phone:707-573-9690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-22
Last Update Date:2008-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC19896106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist