Provider Demographics
NPI:1679343479
Name:VALSESIA, ALAGNA (AMFT)
Entity Type:Individual
Prefix:
First Name:ALAGNA
Middle Name:
Last Name:VALSESIA
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:ALAGNA
Other - Middle Name:
Other - Last Name:ASHURST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:811 S SYCAMORE LN
Mailing Address - Street 2:
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-2756
Mailing Address - Country:US
Mailing Address - Phone:208-721-0399
Mailing Address - Fax:
Practice Address - Street 1:811 S SYCAMORE LN
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-2756
Practice Address - Country:US
Practice Address - Phone:208-721-0399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG61482365106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist