Provider Demographics
NPI:1659788917
Name:ALFORD, JESSICA CUADRA (MA)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:CUADRA
Last Name:ALFORD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:ROSYADOL
Other - Last Name:CUADRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:6600 44TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-1259
Mailing Address - Country:US
Mailing Address - Phone:916-422-0571
Mailing Address - Fax:916-422-0160
Practice Address - Street 1:2021 HIGHLAND BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94542-1100
Practice Address - Country:US
Practice Address - Phone:510-723-3845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-18
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF81718101YA0400X, 106H00000X
CALMFT124643106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)