Provider Demographics
NPI:1619211190
Name:MCALEESE, SCARLETT O (MA, LMFT, CPRP)
Entity Type:Individual
Prefix:MS
First Name:SCARLETT
Middle Name:O
Last Name:MCALEESE
Suffix:
Gender:F
Credentials:MA, LMFT, CPRP
Other - Prefix:MS
Other - First Name:SCARLETT
Other - Middle Name:O
Other - Last Name:MCALEESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT, CPRP
Mailing Address - Street 1:617 BAYONET CIR
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-4600
Mailing Address - Country:US
Mailing Address - Phone:831-440-3590
Mailing Address - Fax:831-221-5220
Practice Address - Street 1:343 DELA VINA AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3974
Practice Address - Country:US
Practice Address - Phone:831-647-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-21
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84618106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist