Provider Demographics
NPI:1679631865
Name:VALLEJO, COURTNEY ALON (LMFT)
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:ALON
Last Name:VALLEJO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 ARDEN WAY STE 175
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4041
Mailing Address - Country:US
Mailing Address - Phone:279-234-2607
Mailing Address - Fax:
Practice Address - Street 1:1610 ARDEN WAY STE 175
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4041
Practice Address - Country:US
Practice Address - Phone:279-234-2607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 50407106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist